Provider Demographics
NPI:1629389085
Name:GRAEBNER, CINDY L (LPN)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:L
Last Name:GRAEBNER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32790 UPLAND RD
Mailing Address - Street 2:
Mailing Address - City:TAYLORS FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:55084-1828
Mailing Address - Country:US
Mailing Address - Phone:651-210-2802
Mailing Address - Fax:
Practice Address - Street 1:32790 UPLAND RD
Practice Address - Street 2:
Practice Address - City:TAYLORS FALLS
Practice Address - State:MN
Practice Address - Zip Code:55084-1828
Practice Address - Country:US
Practice Address - Phone:651-210-2802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI302401-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse