Provider Demographics
NPI:1831101021
Name:CECIL, CHRISTOPHER C (DC, FNP)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:C
Last Name:CECIL
Suffix:
Gender:M
Credentials:DC, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 UNIVERSITY BLVD NE STE A
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-1716
Mailing Address - Country:US
Mailing Address - Phone:505-243-1313
Mailing Address - Fax:505-842-5683
Practice Address - Street 1:1415 UNIVERSITY BLVD NE STE A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-1716
Practice Address - Country:US
Practice Address - Phone:505-243-1313
Practice Address - Fax:505-842-5683
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1057111NX0800X
NMCNP-02134363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily