Provider Demographics
NPI:1699471219
Name:SALAZAR-RUBIO, CYNTHIA BASCARA (RN)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:BASCARA
Last Name:SALAZAR-RUBIO
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 1:17211 102ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3743
Mailing Address - Country:US
Mailing Address - Phone:425-218-1530
Mailing Address - Fax:425-488-0569
Practice Address - Street 1:17211 102ND AVE NE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3743
Practice Address - Country:US
Practice Address - Phone:425-218-1530
Practice Address - Fax:425-488-0569
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00098287163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse