Provider Demographics
NPI:1568431286
Name:NACHTIGALL, CYNTHIA TAYLOR (LSW,ACSW)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:TAYLOR
Last Name:NACHTIGALL
Suffix:
Gender:F
Credentials:LSW,ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 JARRETT WHITE RD
Mailing Address - Street 2:DEPT SOCIAL WORK, TRIPLER ARMY MEDICAL CENTER
Mailing Address - City:TAMC
Mailing Address - State:HI
Mailing Address - Zip Code:96859-5001
Mailing Address - Country:US
Mailing Address - Phone:808-433-6606
Mailing Address - Fax:808-433-1557
Practice Address - Street 1:1 JARRETT WHITE RD
Practice Address - Street 2:DEPT SOCIAL WORK, TRIPLER ARMY MEDICAL CENTER
Practice Address - City:TAMC
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-6606
Practice Address - Fax:808-433-1557
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI78104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker