Individual
DR. CYNTHIA BOSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, BC, PHD
Contact information
Practice address
2511 CHAPARRAL ST, LAS CRUCES, NM 88001-5701
(505) 522-6404
Mailing address
1924 SAN FERNANDO DR, LAS CRUCES, NM 88011-4163
(949) 375-2858
(505) 522-0031
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R34639
NM
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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