Cisneros, Judith Laverne

Cisneros, Judith Laverne is an sole proprietor health care provider with primary practice located at 605 S Coolidge St. , Moses Lake WA 98837-1893. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Cisneros, Judith Laverne can be contacted via phone (509) 765-0674.

Contact Information

Primary practice address
605 S Coolidge St. Moses Lake WA 98837-1893
Phone: (509) 765-0674
Fax: (509) 764-0344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60696038 Washington
Nursing Service Providers / Registered Nurse 163W00000X 201507736RN Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X RN60696038 Washington

Profile Details

NPI number 1114404308
LBN Legal business name Cisneros, Judith Laverne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2018
Last updated Feb 10th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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