Provider Demographics
NPI:1417729229
Name:LIBALE, CYNTHIA KAGAI (RN/BSN)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:KAGAI
Last Name:LIBALE
Suffix:
Gender:F
Credentials:RN/BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 FERNHILL LN
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-7804
Mailing Address - Country:US
Mailing Address - Phone:484-735-3935
Mailing Address - Fax:
Practice Address - Street 1:814 FERNHILL LN
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-7804
Practice Address - Country:US
Practice Address - Phone:484-735-3935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-25
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN728709163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical