Provider Demographics
NPI:1477697985
Name:GAFFNEY, CINDY SLOTTERBACK (RN)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:SLOTTERBACK
Last Name:GAFFNEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 SEVIER RD
Mailing Address - Street 2:
Mailing Address - City:COOL
Mailing Address - State:CA
Mailing Address - Zip Code:95614-9439
Mailing Address - Country:US
Mailing Address - Phone:530-888-6301
Mailing Address - Fax:
Practice Address - Street 1:950 SEVIER RD
Practice Address - Street 2:
Practice Address - City:COOL
Practice Address - State:CA
Practice Address - Zip Code:95614-9439
Practice Address - Country:US
Practice Address - Phone:530-888-6301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA244577364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public Health