Provider Demographics
NPI:1609583756
Name:PAUL, CINDY DOROTHY (RN)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:DOROTHY
Last Name:PAUL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:DOROTHY
Other - Last Name:DASTINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1005 WESTFORD ST APT 18
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-2772
Mailing Address - Country:US
Mailing Address - Phone:857-312-0029
Mailing Address - Fax:
Practice Address - Street 1:1005 WESTFORD ST APT 18
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-2772
Practice Address - Country:US
Practice Address - Phone:857-312-0029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2372529163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health