Individual
CYNTHIA SURER MAGGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
56 MARIE LANGDON DR, MANCHESTER, KY 40962-6329
(606) 599-4080
(606) 598-0983
Mailing address
210 MARIE LANGDON DR, MANCHESTER, KY 40962-6388
(606) 598-5104
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
3007930
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3007930
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12536601
CAQH ID
—
05
—
7100243440
—
KY
01
—
P01427258
RR MEDICARE
KY
Enumeration date
02/27/2013
Last updated
09/30/2024
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