Individual
CYNTHIA NEOMA SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,ARNP,C-PNP
Contact information
Practice address
101 OKLAHOMA AVE, MCALESTER, OK 74501-7520
(918) 423-4900
(918) 423-4905
Mailing address
101 OKLAHOMA AVE, MCALESTER, OK 74501-7520
(918) 423-4900
(918) 423-4905
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R0062969
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200018840B
—
OK
Enumeration date
05/24/2005
Last updated
02/20/2019
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