Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | ||
Y | 176B00000X | Midwife |
NPI | 1255875480 |
---|---|
Provider Name | Mrs. Cynthia Bixby |
First Address | Noxapater, MS 39346-3048 |
Second Address | Noxapater, MS 39346-3048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2016 |
Last Update Date | 15/03/2021 |