Healthcare Provider Details

I. General information

NPI: 1770409070
Provider Name (Legal Business Name): CINDY NASH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CINDY REXINE

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 15TH ST N
ELLENDALE ND
58436-7600
US

IV. Provider business mailing address

PO BOX 279
ELLENDALE ND
58436-0279
US

V. Phone/Fax

Practice location:
  • Phone: 701-349-3271
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: