Provider Demographics
NPI:1790738714
Name:INMAN, CINDY P (ARNP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:P
Last Name:INMAN
Suffix:
Gender:F
Credentials:ARNP
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 328
Mailing Address - Street 2:
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51102-0328
Mailing Address - Country:US
Mailing Address - Phone:712-279-5830
Mailing Address - Fax:712-279-5883
Practice Address - Street 1:111 S MAIN ST
Practice Address - Street 2:
Practice Address - City:KINGSLEY
Practice Address - State:IA
Practice Address - Zip Code:51028-5021
Practice Address - Country:US
Practice Address - Phone:712-378-2921
Practice Address - Fax:712-378-2965
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA092161363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA48198Medicare ID - Type Unspecified
IAI3566Medicare PIN
S72869Medicare UPIN