Provider Demographics
NPI:1891336301
Name:CINCO, CARLOTA BARDE (NP)
Entity Type:Individual
Prefix:MS
First Name:CARLOTA
Middle Name:BARDE
Last Name:CINCO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9650 ENSWORTH ST APT 203
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-6521
Mailing Address - Country:US
Mailing Address - Phone:818-934-3892
Mailing Address - Fax:
Practice Address - Street 1:9650 ENSWORTH ST APT 203
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-6521
Practice Address - Country:US
Practice Address - Phone:818-934-3892
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-05
Last Update Date:2019-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV811258363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily