| Doctor Name: | CYNTHIA FRASER |
| NPI Number: | 1023137155 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., BSN, MPH |
| License Number: | 140786 |
| Business Practice Address: | 516 Nizhoni Boulevard, Bldg. F Gimc, Phn Gallup, NM - 87301 |
| Business Phone Number: | 5057221752 |
| Business Fax Number: | |
| Mailing Address: | 3317 Box Canyon Ave, GALLUP |
| State: | NM |
| Postal Code: | 873016941 |
| Phone Number: | 5057221752 |
| Fax Number: | |
| NPI Enumeration Date: | 03/28/2007 |
| NPI Last Update Date: | 01/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 140786 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |