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Individual

CYNTHIA W DALSING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP255A
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13417641
MEDICARE INDIVIDUAL PTAN
ID
01
1370066
MEDICARE GROUP PTAN
ID
05
804142500
ID
Enumeration date
10/11/2006
Last updated
09/14/2010
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