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NPI Code Detail

MEDICARE: CINDY LANDIS

MEDICARE:   CINDY  LANDIS
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 NurseRN166985AZ

General Provider Information

NPI Number : 1558225466
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY LANDIS
Provider Business Mailing Address
First Line : 4832 N WOODMERE FAIRWAY UNIT C106
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-1329
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5777 E MAYO BLVD
Second Line :
City : PHOENIX
State : AZ
Zip : 85054-4502
Country : US
Telephone Number : 480-574-5336
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ CINDY LANDIS ” Practice Location

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