Provider Demographics
NPI:1518738194
Name:BOTH, CINDY ANN (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:ANN
Last Name:BOTH
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 SOFT BREEZES DR APT 1011
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-7224
Mailing Address - Country:US
Mailing Address - Phone:702-513-1780
Mailing Address - Fax:
Practice Address - Street 1:3150 SOFT BREEZES DR APT 1011
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-7224
Practice Address - Country:US
Practice Address - Phone:702-513-1780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV53187163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty