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Individual

CYNTHIA D. MCCALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
100 3RD ST, SUITE 4, DAVENPORT, WA 99122-9730
(509) 725-6560
(509) 725-1509
Mailing address
100 3RD ST, SUITE 1, DAVENPORT, WA 99122-9730
(509) 725-7501
(509) 725-7504

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00129272
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30006479
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
188210
DEPT. OF L & I
WA
05
7101132
WA
05
7117450
WA
05
9642299
WA
01
CJ6525
MEDICARE RAILROAD
WA
01
P00206807
MEDICARE RAILROAD
WA
Enumeration date
06/13/2006
Last updated
03/07/2023
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