Individual
CINDY DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1595 SOQUEL DR STE 230, SANTA CRUZ, CA 95065-1721
(831) 226-3225
(831) 423-7579
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95003059
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
95003059
CA
363LG0600X
Gerontology Nurse Practitioner
95003059
CA
Other
Enumeration date
10/16/2015
Last updated
12/08/2023
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