Individual
MRS. CYNDIA MARIE MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8220 SAN PEDRO DR NE STE 220, ALBUQUERQUE, NM 87113-2480
(505) 797-4466
(505) 797-2275
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
01220
NM
367500000X
Certified Registered Nurse Anesthetist
4704251927
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44676018
—
NM
01
—
713295
MEDICARE NM
NM
Enumeration date
11/11/2009
Last updated
12/11/2020
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