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NPI Code Detail

MEDICARE: CYNTHIA NEOMA SANFORD MS,ARNP,C-PNP

MEDICARE: CYNTHIA NEOMA SANFORD MS,ARNP,C-PNP
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
1363LP0200XPediatric Nurse PractitionerR0062969OK

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 : 1578566337
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA NEOMA SANFORD MS,ARNP,C-PNP
Provider Business Mailing Address
First Line : 101 OKLAHOMA AVE
Second Line :
City : MCALESTER
State : OK
Zip : 74501-7520
Country : US
Telephone Number : 918-423-4900
Fax Number : 918-423-4905
Provider Business Practice Location Address
First Line : 101 OKLAHOMA AVE
Second Line :
City : MCALESTER
State : OK
Zip : 74501-7520
Country : US
Telephone Number : 918-423-4900
Fax Number : 918-423-4905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 02/20/2019

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Directions to “ CYNTHIA NEOMA SANFORD MS,ARNP,C-PNP” Practice Location

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