MEDICARE: CYNTHIA F DIETRICK R.N.

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
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN15602	NV
2	163W00000X	Registered Nurse	RN15602	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720037351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA F DIETRICK R.N.

Provider Business Mailing Address
First Line	:	4000 E CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-6681
Country	:	US
Telephone Number	:	702-968-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 E CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-6659
Country	:	US
Telephone Number	:	702-968-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	02/16/2010

Similar Medicare Providers

1083683874 — NEVADA FAMILY PRACTICE RESIDENCE PROGRAM
Practice Location Address:

4000 E CHARLESTON BLVD , B-130
LAS VEGAS, NV
89104-6659

Practice Phone: 702-968-4038
Practice Fax: 702-968-4033

1760431746 — THOMAS STRAHLER LCSW
Practice Location Address:

4000 E CHARLESTON BLVD , B-230
LAS VEGAS, NV
89104-6659

Practice Phone: 702-596-6960
Practice Fax:

1841249430 — JACQUELINE L QUATTRINI R.N.
Practice Location Address:

4000 E CHARLESTON BLVD
LAS VEGAS, NV
89104-6659

Practice Phone: 702-968-4000
Practice Fax:

1740230010 — VALERIE ILAINE KINNIKIN LCSW MAC
Practice Location Address:

4000 E CHARLESTON BLVD , B130
LAS VEGAS, NV
89104-6659

Practice Phone: 702-968-4000
Practice Fax:

1659321875 — MS. CHRISTINA LOUISE SORENSEN
Practice Location Address:

4000 E CHARLESTON BLVD
LAS VEGAS, NV
89104-6659

Practice Phone: 702-253-0818
Practice Fax:

1659322907 — MR. JOSEPH M. HERBST
Practice Location Address:

4000 E CHARLESTON BLVD
LAS VEGAS, NV
89104-6659

Practice Phone: 702-452-2490
Practice Fax:

Directions to “ CYNTHIA F DIETRICK R.N.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.