Provider Demographics
NPI:1386451300
Name:PYNTO, JOSEPHINE HYACINTH
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:HYACINTH
Last Name:PYNTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 POPPY MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:COALINGA
Mailing Address - State:CA
Mailing Address - Zip Code:93210-9796
Mailing Address - Country:US
Mailing Address - Phone:480-200-1564
Mailing Address - Fax:
Practice Address - Street 1:1712 POPPY MEADOW CT
Practice Address - Street 2:
Practice Address - City:COALINGA
Practice Address - State:CA
Practice Address - Zip Code:93210-9796
Practice Address - Country:US
Practice Address - Phone:480-200-1564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ108628163W00000X, 163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163W00000XNursing Service ProvidersRegistered Nurse