Healthcare Provider Details

I. General information

NPI: 1396068656
Provider Name (Legal Business Name): CINDY A GARVEY RN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2010
Last Update Date: 12/10/2019
Certification Date: 12/10/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 BAHIA LN
ESCONDIDO CA
92026-2079
US

IV. Provider business mailing address

27018 BANBURY DR
VALLEY CENTER CA
92082-7711
US

V. Phone/Fax

Practice location:
  • Phone: 760-294-8781
  • Fax:
Mailing address:
  • Phone: 760-215-9672
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number296770
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: