Provider Demographics
NPI:1013657873
Name:TOSTEN, CINDY
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:TOSTEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2092 SKIDMORE SCHOOL RD # A
Mailing Address - Street 2:
Mailing Address - City:GASSAWAY
Mailing Address - State:WV
Mailing Address - Zip Code:26624-6196
Mailing Address - Country:US
Mailing Address - Phone:130-470-1818
Mailing Address - Fax:
Practice Address - Street 1:2092 SKIDMORE SCHOOL RD # A
Practice Address - Street 2:
Practice Address - City:GASSAWAY
Practice Address - State:WV
Practice Address - Zip Code:26624-6196
Practice Address - Country:US
Practice Address - Phone:130-470-1818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV30344164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty