Healthcare Provider Details

I. General information

NPI: 1881833010
Provider Name (Legal Business Name): CYNTHIA B PASLEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CYNDEE B PASLEY RN

II. Dates (important events)

Enumeration Date: 02/11/2009
Last Update Date: 02/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL KY
42223-5318
US

IV. Provider business mailing address

650 JOEL DR BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL KY
42223-5318
US

V. Phone/Fax

Practice location:
  • Phone: 270-798-8933
  • Fax: 270-798-8499
Mailing address:
  • Phone: 270-798-8933
  • Fax: 270-798-8499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number041912
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: