Individual
MS. CYNTHIA ANN NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
483 BACKUS RD, CAYUGA, NY 13034-2176
(315) 224-1219
Mailing address
483 BACKUS RD, CAYUGA, NY 13034-2176
(315) 224-1219
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1895721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01925960
—
NY
Enumeration date
07/26/2007
Last updated
07/26/2007
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