Provider Demographics
NPI:1700857984
Name:UDALL, CINDY (RNC,WHNP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:UDALL
Suffix:
Gender:F
Credentials:RNC,WHNP
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:ROMNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNC,WHNP
Mailing Address - Street 1:3815 S. VAL VISTA DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-7309
Mailing Address - Country:US
Mailing Address - Phone:480-782-0993
Mailing Address - Fax:855-329-8939
Practice Address - Street 1:3815 S. VAL VISTA DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-7309
Practice Address - Country:US
Practice Address - Phone:480-782-0993
Practice Address - Fax:855-329-8939
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN079794163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZRN079794OtherAZ STATE BOARD OF NURSIN