NPI 1003426776 · live from the CMS NPI Registry
Cynthia Rose Agnes
Counselor in Nulato, AK. National Provider Identifier 1003426776, active.
NPI record
| NPI | 1003426776 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor 101Y00000X |
| Practice location | 41 Sis St, Nulato, AK 99765 |
| Practice phone | 907-452-8251 |
| Mailing address | Po Box 65056, Nulato, AK 99765 |
| Enumerated | August 6, 2020 |
| Last updated | August 6, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor primary | 101Y00000X | — (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.