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Individual

MS. CYNTHIA J MODLIN-ADAMS

Active
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Individual

MS. CYNTHIA J MODLIN-ADAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN MSN ANP BC BYANCC

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP71000092A
IN
363L00000X
Nurse Practitioner
Primary
RN28084777A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000559485
ANTHEM
IN
05
—
200941060
—
IN
01
—
500006273
RAILROAD MEDICARE
IN
01
—
9397607
PHCS PID NUMBER
IN
Enumeration date
03/20/2006
Last updated
03/07/2023
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