Provider Demographics
NPI:1649773060
Name:BRIGHAM-ALTHOFF, CINDY (CNM, APRN)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:BRIGHAM-ALTHOFF
Suffix:
Gender:F
Credentials:CNM, APRN
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:BRIGHAM-ALTHOFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:611 N IRON BRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-4932
Mailing Address - Country:US
Mailing Address - Phone:509-444-8888
Mailing Address - Fax:
Practice Address - Street 1:817 S PERRY ST UNIT B
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-3443
Practice Address - Country:US
Practice Address - Phone:509-444-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209016085367A00000X
WAAP60844729367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife