Provider Demographics
NPI:1750457768
Name:BORCHERDING, CYNTHIA MARIE (RN)
Entity Type:Individual
Prefix:MR
First Name:CYNTHIA
Middle Name:MARIE
Last Name:BORCHERDING
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 1:4245 S ROGER WAY
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85249-2975
Mailing Address - Country:US
Mailing Address - Phone:480-704-5393
Mailing Address - Fax:
Practice Address - Street 1:4245 S ROGER WAY
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-2975
Practice Address - Country:US
Practice Address - Phone:480-704-5393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN115788163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse