Healthcare Provider Details

I. General information

NPI: 1972118545
Provider Name (Legal Business Name): CYNTHIA RENEE ALEMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2020
Last Update Date: 09/10/2020
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 N COTTONWOOD ST
WOODLAND CA
95695-6646
US

IV. Provider business mailing address

1671 VOSSPARK WAY
SACRAMENTO CA
95835-1926
US

V. Phone/Fax

Practice location:
  • Phone: 530-661-2623
  • Fax:
Mailing address:
  • Phone: 916-879-6491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number95214414
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: