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NPI Code Detail

MEDICARE: CYNTHIA JO WEISS-KAFFIE APRN

MEDICARE: CYNTHIA JO WEISS-KAFFIE APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner512515TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164422648
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA JO WEISS-KAFFIE APRN
Provider Business Mailing Address
First Line : 1602 10TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79401-2607
Country : US
Telephone Number : 806-766-0310
Fax Number : 806-744-9580
Provider Business Practice Location Address
First Line : 1602 10TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79401-2607
Country : US
Telephone Number : 806-766-0310
Fax Number : 806-744-9580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2005
Last Update Date : 07/08/2007

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Directions to “ CYNTHIA JO WEISS-KAFFIE APRN” Practice Location

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