Provider Demographics
NPI:1497451736
Name:WALKER, CYNTHIA EYVETTE
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:EYVETTE
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25279 SW 22ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-4942
Mailing Address - Country:US
Mailing Address - Phone:352-682-4878
Mailing Address - Fax:
Practice Address - Street 1:25279 SW 22ND AVE
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-4942
Practice Address - Country:US
Practice Address - Phone:352-682-4878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health