Provider Demographics
NPI:1669123220
Name:FARRIS, CYNTHIA (FNLP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:FARRIS
Suffix:
Gender:F
Credentials:FNLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16020 HEDGEWAY DR STE 201
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3519
Mailing Address - Country:US
Mailing Address - Phone:720-284-4903
Mailing Address - Fax:
Practice Address - Street 1:16020 HEDGEWAY DR STE 201
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-3519
Practice Address - Country:US
Practice Address - Phone:720-284-4903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-15
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date: