Provider Demographics
NPI:1619604626
Name:SAIMO, CYBELE E (PMHNP - BC)
Entity Type:Individual
Prefix:
First Name:CYBELE
Middle Name:E
Last Name:SAIMO
Suffix:
Gender:F
Credentials:PMHNP - BC
Other - Prefix:
Other - First Name:CECE
Other - Middle Name:E
Other - Last Name:SAIMO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PMHNP - BC
Mailing Address - Street 1:PO BOX 525
Mailing Address - Street 2:
Mailing Address - City:CORNVILLE
Mailing Address - State:AZ
Mailing Address - Zip Code:86325-0525
Mailing Address - Country:US
Mailing Address - Phone:928-910-2127
Mailing Address - Fax:
Practice Address - Street 1:2030 W STATE ROUTE 89A STE B4
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-5407
Practice Address - Country:US
Practice Address - Phone:928-202-9187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2023-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ277741363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health