Provider Demographics
NPI:1063028777
Name:MATHEWS, CYNTHIA MONET (CNA)
Entity Type:Individual
Prefix:MISS
First Name:CYNTHIA
Middle Name:MONET
Last Name:MATHEWS
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3578 E 143RD ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-4803
Mailing Address - Country:US
Mailing Address - Phone:205-260-8975
Mailing Address - Fax:
Practice Address - Street 1:3578 E 143RD ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-4803
Practice Address - Country:US
Practice Address - Phone:205-260-8975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty