Provider Demographics
NPI:1285815449
Name:ADAMS, CINDY JEAN (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:JEAN
Last Name:ADAMS
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 1:5100 STATE ROUTE 113 E
Mailing Address - Street 2:
Mailing Address - City:BERLIN HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44814-9518
Mailing Address - Country:US
Mailing Address - Phone:419-499-4205
Mailing Address - Fax:419-499-4619
Practice Address - Street 1:5100 STATE ROUTE 113 E
Practice Address - Street 2:
Practice Address - City:BERLIN HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44814-9518
Practice Address - Country:US
Practice Address - Phone:419-499-4205
Practice Address - Fax:419-499-4619
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN086536164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse