Provider Demographics
NPI:1699964155
Name:CINQUEMANI, RITA D (APN)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:D
Last Name:CINQUEMANI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3515 MOSS TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3823
Mailing Address - Country:US
Mailing Address - Phone:832-368-3092
Mailing Address - Fax:
Practice Address - Street 1:3515 MOSS TRAIL DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3823
Practice Address - Country:US
Practice Address - Phone:832-368-3092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP111258363LF0000X
TX236844163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP111258OtherAPRN
TX236844OtherLICENSE