Individual
MRS. CYNTHIA ANN WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
724 LAKE DR, SANTA ROSA, NM 88435-2559
(505) 472-4311
Mailing address
724 LAKE DR, SANTA ROSA, NM 88435-2559
(505) 472-4311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R59797
NM
Other
Enumeration date
01/29/2007
Last updated
10/29/2009
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