Provider Demographics
NPI:1316254931
Name:HOLT, CINDY L (RN, BSN)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:L
Last Name:HOLT
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:PO BOX 904
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-0904
Mailing Address - Country:US
Mailing Address - Phone:509-554-3641
Mailing Address - Fax:
Practice Address - Street 1:720 W COURT ST
Practice Address - Street 2:SUITE 8
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-4178
Practice Address - Country:US
Practice Address - Phone:509-545-6506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA69870163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health