Provider Demographics
NPI:1912571142
Name:CHAIRES, CYNTHIA LORRAINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LORRAINE
Last Name:CHAIRES
Suffix:
Gender:F
Credentials:RN
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:11364 TOM ULOZAS DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-4721
Mailing Address - Country:US
Mailing Address - Phone:915-490-9518
Mailing Address - Fax:
Practice Address - Street 1:11364 TOM ULOZAS DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-4721
Practice Address - Country:US
Practice Address - Phone:915-490-9518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX740009163WN0002X
TX1057195363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care