Provider Demographics
NPI:1205576527
Name:SANTA ANA, CINDY P (NTP)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:P
Last Name:SANTA ANA
Suffix:
Gender:F
Credentials:NTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6735 ECKERT CT
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20187-3960
Mailing Address - Country:US
Mailing Address - Phone:619-405-9386
Mailing Address - Fax:
Practice Address - Street 1:6735 ECKERT CT
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20187-3960
Practice Address - Country:US
Practice Address - Phone:619-405-9386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No133N00000XDietary & Nutritional Service ProvidersNutritionist