Healthcare Provider Details

I. General information

NPI: 1073421277
Provider Name (Legal Business Name): CYNTHIA JOSEPH
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ROCKY MOUNTAIN AVE
LOVELAND CO
80538-9004
US

IV. Provider business mailing address

2500 ROCKY MOUNTAIN AVE
LOVELAND CO
80538-9004
US

V. Phone/Fax

Practice location:
  • Phone: 970-590-0734
  • Fax:
Mailing address:
  • Phone: 970-590-0734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN.0169426
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: