Organization Name: | CYNTHIA KUDJI LLC |
NPI Number: | 1104014026 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA KUDJI (FAMILY NURSE PRACTITIONER) |
Mailing Address: | 3924 Red Cypress Dr Harvey |
State: | LA US |
Postal Code: | 700585815 |
Phone Number: | 5047829456 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2007 |
NPI Last Update Date: | 02/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |