Provider Demographics
NPI:1588792378
Name:CHINTIS, KANDY LEIGH (RN)
Entity type:Individual
Prefix:MS
First Name:KANDY
Middle Name:LEIGH
Last Name:CHINTIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:5339 BRANDING IRON LOOP
Mailing Address - Street 2:
Mailing Address - City:PINETOP
Mailing Address - State:AZ
Mailing Address - Zip Code:85935-8534
Mailing Address - Country:US
Mailing Address - Phone:928-338-4138
Mailing Address - Fax:928-338-6130
Practice Address - Street 1:1 NORTH 1ST AVE
Practice Address - Street 2:
Practice Address - City:WHITERIVER
Practice Address - State:AZ
Practice Address - Zip Code:85941
Practice Address - Country:US
Practice Address - Phone:928-338-4138
Practice Address - Fax:928-338-6130
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZRN026274163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool