Cynthia June Martin-Michalec, RN
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · Hughson, CA
NPI 1780135830 · NPPES record last updated Oct 24, 2016
Key facts
- NPI
- 1780135830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 353930 (CA)
- Practice address
- 1817 Thomas Taylor Dr
Hughson, CA 95326-8911 - Phone
- (209) 485-8821
- NPI assigned
- Oct 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 353930 | CA | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 353930 | CA | Yes |
Addresses
Primary practice location
1817 Thomas Taylor Dr
Hughson, CA 95326-8911
Mailing address
1904 Richland Ave
Ceres, CA 95307-4562
Phone (209) 341-1824
Other names
- Cynthia June Fandrich
Other providers in Hughson, CA
- Mandeep Kaur
- Susan Falzone Kraus
- Flor De Maria Lopez Flores
- Lumira Healthcare
- Brenda Esmeralda Madrigal-Ramos
- Muhammad Randhawa DDS Inc
- Ashley Ann Pulford
- Monica Pierce Reich
- Terra Dee Ann Rosa
- Sareen Pharmacy Inc.
All providers in Hughson, CA · Psychiatric/Mental Health Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.