Doctor Name: | CINDY ANNETTE CLEM |
NPI Number: | 1013325984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 097003106RN |
Business Practice Address: | 65885 Highway 20 Bend, OR - 977019190 |
Business Phone Number: | 5415986751 |
Business Fax Number: | |
Mailing Address: | Po Box 411, BEND |
State: | OR |
Postal Code: | 977090411 |
Phone Number: | 5415986751 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2014 |
NPI Last Update Date: | 07/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 097003106RN |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |