Individual
CYDNEY ROLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
400 N PENNSYLVANIA AVE STE 101, ROSWELL, NM 88201-4754
(575) 623-9101
(575) 623-3020
Mailing address
400 N PENNSYLVANIA AVE STE 101, ROSWELL, NM 88201-4754
(575) 623-9101
(575) 623-3020
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R43142
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP01000
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50808338
—
NM
Enumeration date
05/06/2006
Last updated
12/23/2013
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