Organization
CINDY A MAYBERRY APN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY MAYBERRY (NURSE PRACTITIONER)
(660) 665-3545
Entity
Organization
Contact information
Practice address
705 E LAHARPE ST STE D, KIRKSVILLE, MO 63501-4526
(660) 665-3545
(660) 665-3226
Mailing address
705 E LAHARPE ST STE D, KIRKSVILLE, MO 63501-4526
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
100516
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
182570
BLUE CROSS/BLUE SHIELD
MO
05
—
429173503
—
MO
01
—
633829
COM
—
Enumeration date
01/07/2015
Last updated
01/07/2015
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