Healthcare Provider Details

I. General information

NPI: 1881868974
Provider Name (Legal Business Name): CYNTHIA ROSE HERALD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2008
Last Update Date: 04/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPT OF ANESTHESIOLOGY UNIV OF NEW MEXICO MSC11 6120 1 UNIVERSITY OF NM
ALBUQUERQUE NM
87131-0001
US

IV. Provider business mailing address

105 SPRUNT ST
CHAPEL HILL NC
27517-7810
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-2734
  • Fax: 505-272-1300
Mailing address:
  • Phone: 919-370-9530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: