Provider Demographics
NPI:1700369923
Name:RISING, CINDY (RN)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:RISING
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:PO BOX 217
Mailing Address - Street 2:
Mailing Address - City:SUTHERLAND
Mailing Address - State:NE
Mailing Address - Zip Code:69165-0217
Mailing Address - Country:US
Mailing Address - Phone:308-386-4656
Mailing Address - Fax:308-386-2426
Practice Address - Street 1:401 WALNUT ST
Practice Address - Street 2:
Practice Address - City:SUTHERLAND
Practice Address - State:NE
Practice Address - Zip Code:69165-7257
Practice Address - Country:US
Practice Address - Phone:308-386-4656
Practice Address - Fax:308-386-2426
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE46555163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool