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Individual

CINDY L. AULD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4600 MEMORIAL DR, STE. 400, BELLEVILLE, IL 62226-5368
(618) 234-2390
(618) 234-9936
Mailing address
4600 MEMORIAL DR, STE. 400, BELLEVILLE, IL 62226-5368
(618) 234-2390
(618) 234-9936

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
209-002732
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003873647
IL
Enumeration date
04/27/2006
Last updated
02/13/2013
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