| Doctor Name: | MRS. CYNTHIA LOU DEPIES |
| NPI Number: | 1265799449 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 61070-30 |
| Business Practice Address: | 614 Memorial Dr Chilton, WI - 530141568 |
| Business Phone Number: | 9208497512 |
| Business Fax Number: | 9208491812 |
| Mailing Address: | 614 Memorial Dr, CHILTON |
| State: | WI |
| Postal Code: | 530141568 |
| Phone Number: | 9208497512 |
| Fax Number: | 9208491812 |
| NPI Enumeration Date: | 04/12/2012 |
| NPI Last Update Date: | 04/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC3500X |
| License Number: | 61070-30 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Cardiac Rehabilitation |
| Taxonomy Definition: | |