Individual
CYNTHIA W DALSING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1215 MICHIGAN ST, SUITE C, SANDPOINT, ID 83864-5014
(208) 263-1299
(208) 263-1557
Mailing address
1215 MICHIGAN ST STE C, SANDPOINT, ID 83864-5014
(208) 263-1299
(208) 263-1557
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP255A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13417641
MEDICARE INDIVIDUAL PTAN
ID
01
—
1370066
MEDICARE GROUP PTAN
ID
05
—
804142500
—
ID
Enumeration date
10/11/2006
Last updated
09/14/2010
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