Provider Demographics
NPI:1538448899
Name:ALBARACIN, CYNTHIA D (LPN)
Entity type:Individual
Prefix:MR
First Name:CYNTHIA
Middle Name:D
Last Name:ALBARACIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6218 S 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85042-4211
Mailing Address - Country:US
Mailing Address - Phone:602-232-4940
Mailing Address - Fax:602-305-4678
Practice Address - Street 1:4001 S 3RD ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-1103
Practice Address - Country:US
Practice Address - Phone:602-232-4940
Practice Address - Fax:602-605-4678
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPO29868164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse