Doctor Name: | CYNTHIA BOOL |
NPI Number: | 1578801106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | TAP4788 |
Business Practice Address: | 10170 Howard Mesa Loop Williams, AZ - 860460344 |
Business Phone Number: | 9282214793 |
Business Fax Number: | |
Mailing Address: | Po Box 344, WILLIAMS |
State: | AZ |
Postal Code: | 860460344 |
Phone Number: | 9282214793 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2013 |
NPI Last Update Date: | 01/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | TAP4788 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |