Individual
CINDY MARIE ISHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
501 13TH AVE SE, WASECA, MN 56093-3537
(970) 278-7385
Mailing address
501 13TH AVE SE, WASECA, MN 56093-3537
(970) 278-7385
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.0108867
CO
Other
Enumeration date
12/21/2020
Last updated
01/12/2021
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