Provider Demographics
NPI:1881868974
Name:HERALD, CYNTHIA ROSE (MD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ROSE
Last Name:HERALD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 SPRUNT ST
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7810
Mailing Address - Country:US
Mailing Address - Phone:919-370-9530
Mailing Address - Fax:
Practice Address - Street 1:DEPT OF ANESTHESIOLOGY UNIV OF NEW MEXICO
Practice Address - Street 2:MSC11 6120 1 UNIVERSITY OF NM
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-2734
Practice Address - Fax:505-272-1300
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program