Individual
CYNTHIA LAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6733 CAMP BOWIE BLVD, FORT WORTH, TX 76116-7112
(682) 216-5802
Mailing address
1900 CHARLESTON DR, BEDFORD, TX 76022-7608
(817) 455-3730
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
923344
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
923344
TEXAS BOARD OF NURSING
TX
Enumeration date
12/22/2020
Last updated
12/22/2020
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