Provider Demographics
NPI:1710852579
Name:VINDIOLA, CHEYENNE ELIZABETH (CEV)
Entity type:Individual
Prefix:MS
First Name:CHEYENNE
Middle Name:ELIZABETH
Last Name:VINDIOLA
Suffix:
Gender:F
Credentials:CEV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE SOUTH CHURCH AVENUE, SUITE 1210 TUCSON AZ
Mailing Address - Street 2:1210
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85701
Mailing Address - Country:US
Mailing Address - Phone:520-262-5003
Mailing Address - Fax:
Practice Address - Street 1:ONE SOUTH CHURCH AVENUE,
Practice Address - Street 2:SUITE 1200
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85701
Practice Address - Country:US
Practice Address - Phone:520-262-5003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZUA202308003175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist