Doctor Name: | CINDI D MCINTOSH |
NPI Number: | 1144665134 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | NP 0990732 |
Business Practice Address: | 10577 Santa Fe Trail Drive Trinidad, CO - 810823232 |
Business Phone Number: | 7198463536 |
Business Fax Number: | |
Mailing Address: | 911 Robinson Ave, TRINIDAD |
State: | CO |
Postal Code: | 810822811 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/03/2013 |
NPI Last Update Date: | 05/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP 0990732 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |