Individual
MS. CYNTHIA LOU SHORTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
519 W CRAIG PL APT 1, SAN ANTONIO, TX 78212-3443
(210) 849-5825
Mailing address
519 W CRAIG PL APT 1, SAN ANTONIO, TX 78212-3443
(210) 849-5825
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
573609
TX
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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