Individual
MRS. CYNTHIA DIANE WATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, SANE-A, SANE-P
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5187
(317) 403-8641
Mailing address
5834 NATURE HILLS CT, MARTINSVILLE, IN 46151-6374
(317) 403-8641
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28148658A
IN
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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