Basic Information
| Provider Information | |||||||||
| NPI: | 1851603815 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUSTIN | ||||||||
| FirstName: | CINDY | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | R.N. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3810 | ||||||||
| Address2: | COMPASS HEALTH | ||||||||
| City: | EVERETT | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4253498397 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4807 196TH ST SW | ||||||||
| Address2: | 220 | ||||||||
| City: | LYNNWOOD | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980366430 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4253498397 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2010 | ||||||||
| LastUpdateDate: | 07/07/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | RN 00102996 | WA | Y | Nursing Service Providers | Registered Nurse |
No ID Information.