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CYNTHIA CHISM
Community Health >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1639452261
Individual Registrant: CYNTHIA CHISM
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
300 W. HOSPITAL WAY WHITERIVER, AZ 85941 US
Tel: 928-338-3684 Fax: --
Tel: 928-338-3684 Fax: --
Contact information for business:
PO BOX 80039 CIBECUE HEALTH CENTER CIBECUE, AZ 85911 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1639452261
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WC1500X | Nursing Service Providers Registered Nurse Community Health | AR | R20022 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
