SearchColorado225XP0200X

Cynthia Macisaac

NPI 1992203681 · on the registry since 2018 · sole proprietor

Practice

Address
1851 Silver Eagle Cir
Leadville, CO 80461
Phone
(970) 406-8020

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Also registered as
225X00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-01-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado