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NPI Code Detail

MEDICARE: CYNTHIA VAN TEYENS RN, CDCES

MEDICARE: CYNTHIA VAN TEYENS RN, CDCES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse441393CA

General Provider Information

NPI Number : 1356298111
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA VAN TEYENS RN, CDCES
Provider Business Mailing Address
First Line : 275 W MACARTHUR BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94611-5641
Country : US
Telephone Number : 510-752-1200
Fax Number : 510-752-7054
Provider Business Practice Location Address
First Line : 275 W MACARTHUR BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94611-5641
Country : US
Telephone Number : 510-752-7813
Fax Number : 510-752-7054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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