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CYNTHIA A MANNINEN D.O. NPI 1114074044


NPI Information

NPI: 1114074044
Provider Name: CYNTHIA A MANNINEN, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
810 E 3RD ST
SUITE 201
DURANGO, CO
ZIP 81301
Phone: (970) 764-1790
Get Directions

Cynthia A Manninen, D.O. is a family medicine in Durango, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Cynthia A Manninen, D.O. NPI is 1114074044. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

810 E 3RD ST
SUITE 201
DURANGO, CO
ZIP 81301-728
Phone: (970) 764-1790
Fax: (970) 375-7927

The enumeration date for this NPI number is 1/4/2007 and was last updated on 6/26/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine5101008368MICHIGANNo
2207Q00000XFamily MedicineDR.0051108COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10Z56005017MEDICARE PINMICHIGAN
2303814YRDLMEDICARE UPINCOLORADO
34961694MEDICAIDMICHIGAN
4839761MEDICAIDARIZONA
5F16414MEDICARE UPIN
61114074044MEDICAIDUTAH
743101852MEDICAIDCOLORADO
851722585MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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