Individual
CYNTHIA ANN CORREIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
138 WEBSTER ST, SENIOR HEALTH PRIMARY CARE, MANCHESTER, NH 03104-2512
(603) 663-7030
(603) 663-7039
Mailing address
138 WEBSTER ST, SENIOR HEALTH PRIMARY CARE, MANCHESTER, NH 03104-2512
(603) 663-7030
(603) 663-7039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
022474-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30341705
—
NH
01
—
500019872
RR MEDICARE PIN
NH
01
—
AA11320
HPHC PIN
NH
01
—
RE5600
MEDICARE GROUP
NH
01
—
RE6661
MEDICARE GROUP
NH
Enumeration date
11/08/2005
Last updated
07/14/2021
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