Healthcare Provider Details

I. General information

NPI: 1558011429
Provider Name (Legal Business Name): CINDY KAY MEJIA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 N CHURCH ST
MCKINNEY TX
75069-2002
US

IV. Provider business mailing address

1110 N CHURCH ST
MCKINNEY TX
75069-2002
US

V. Phone/Fax

Practice location:
  • Phone: 513-301-5565
  • Fax:
Mailing address:
  • Phone: 513-301-5565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number1016056
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: