Provider Demographics
NPI:1043641665
Name:ADKINS, CINDY L (LPN)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:L
Last Name:ADKINS
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 1:1420 COVENTRY RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45410-3111
Mailing Address - Country:US
Mailing Address - Phone:937-776-8447
Mailing Address - Fax:
Practice Address - Street 1:1420 COVENTRY RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45410-3111
Practice Address - Country:US
Practice Address - Phone:937-776-8447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-07
Last Update Date:2013-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN083004164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse