Dietrick, Cynthia F

Dietrick, Cynthia F is an individual health care provider with primary practice located at 4000 E Charleston Blvd , Las Vegas NV 89104-6659. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Dietrick, Cynthia F can be contacted via phone (702) 968-4000.

Contact Information

Primary practice address
4000 E Charleston Blvd Las Vegas NV 89104-6659
Phone: (702) 968-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN15602 Nevada
Nursing Service Providers / Registered Nurse 163W00000X RN15602 Nevada

Profile Details

NPI number 1720037351
LBN Legal business name Dietrick, Cynthia F
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Feb 16th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720037351 NPPES
Nevada MEDICAID 100507626

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