Provider Demographics
NPI:1932743325
Name:MEDRANO SANDOVAL, CINTHIA G (RN)
Entity type:Individual
Prefix:
First Name:CINTHIA
Middle Name:G
Last Name:MEDRANO SANDOVAL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CINTHIA
Other - Middle Name:G
Other - Last Name:WILLIAMS MEDRANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:2196 SHY BEAR WAY NW APT 102
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5637
Mailing Address - Country:US
Mailing Address - Phone:510-830-8493
Mailing Address - Fax:
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2499
Practice Address - Country:US
Practice Address - Phone:206-744-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60930964163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse