Provider Demographics
NPI:1013045012
Name:ENGLISH, CYNTHIA A (RN)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 OLD BETHEL ROAD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37337
Mailing Address - Country:US
Mailing Address - Phone:931-433-3307
Mailing Address - Fax:
Practice Address - Street 1:133 OLD BETHEL ROAD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37337
Practice Address - Country:US
Practice Address - Phone:931-433-3307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000100819163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse