Individual
CINDY B FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
262
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116832100
—
WY
01
—
312330
BCBS
—
01
—
P00074038
RAILROAD MEDICARE
WY
Enumeration date
01/18/2006
Last updated
02/24/2010
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