Provider Demographics
NPI:1891485447
Name:GAYTAN, CYNTHIA NICHOL (MA, CPHW,SW,PHN)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:NICHOL
Last Name:GAYTAN
Suffix:
Gender:F
Credentials:MA, CPHW,SW,PHN
Other - Prefix:MRS
Other - First Name:CYNTHIA
Other - Middle Name:NICHOL
Other - Last Name:VEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,CPHW,SW,PHN
Mailing Address - Street 1:981 WHITNEY RANCH DR APT 113
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2567
Mailing Address - Country:US
Mailing Address - Phone:725-287-1423
Mailing Address - Fax:
Practice Address - Street 1:981 WHITNEY RANCH DR APT 113
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2567
Practice Address - Country:US
Practice Address - Phone:725-287-1423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No225CX0006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorOrientation and Mobility Training Provider
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology
No2279G0305XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGeriatric Care
No251K00000XAgenciesPublic Health or Welfare
No251F00000XAgenciesHome Infusion
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind
No225CA2400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Practitioner
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QP0904XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, Federal
No376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Multi-Specialty