Provider Demographics
NPI:1437820701
Name:MENDEL, CINDY DENISE
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:DENISE
Last Name:MENDEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 W QUINCY ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:OK
Mailing Address - Zip Code:73730-1503
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 S INDEPENDENCE ST
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-5632
Practice Address - Country:US
Practice Address - Phone:580-366-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-25
Last Update Date:2021-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty