Provider Demographics
NPI:1578683561
Name:SENICAL, CYNTHIA M (RN)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:M
Last Name:SENICAL
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 1:196 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WINOOSKI
Mailing Address - State:VT
Mailing Address - Zip Code:05404-1328
Mailing Address - Country:US
Mailing Address - Phone:802-655-3242
Mailing Address - Fax:
Practice Address - Street 1:90 LOMBARD LN
Practice Address - Street 2:
Practice Address - City:SOUTH HERO
Practice Address - State:VT
Practice Address - Zip Code:05486-4302
Practice Address - Country:US
Practice Address - Phone:802-372-4123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026-0009420163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health