Healthcare Provider Details

I. General information

NPI: 1912847575
Provider Name (Legal Business Name): CYNTHIA ANN LINDSAY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15002 ROCK CREEK RD
SHASTA CA
96087-8039
US

IV. Provider business mailing address

PO BOX 472
SHASTA CA
96087-0472
US

V. Phone/Fax

Practice location:
  • Phone: 530-945-7448
  • Fax:
Mailing address:
  • Phone: 530-232-0069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number718729
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: