Provider Demographics
NPI:1215337597
Name:RICHENS, CINDY B (RN)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:B
Last Name:RICHENS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 N FORK RD UNIT A
Mailing Address - Street 2:#A
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-7622
Mailing Address - Country:US
Mailing Address - Phone:360-262-9178
Mailing Address - Fax:
Practice Address - Street 1:124 N FORK RD UNIT A
Practice Address - Street 2:#A
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-7622
Practice Address - Country:US
Practice Address - Phone:360-262-9178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-24
Last Update Date:2014-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00124581163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health