Provider Demographics
NPI:1629127865
Name:BELFORD, CYNTHIA KATHERINE (RN BSN)
Entity Type:Individual
Prefix:MISS
First Name:CYNTHIA
Middle Name:KATHERINE
Last Name:BELFORD
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:BELFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:319 LYNN STREET
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:OH
Mailing Address - Zip Code:43078
Mailing Address - Country:US
Mailing Address - Phone:937-653-6465
Mailing Address - Fax:
Practice Address - Street 1:319 LYNN STREET
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:OH
Practice Address - Zip Code:43078
Practice Address - Country:US
Practice Address - Phone:937-653-6465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH143773163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2271492Medicare ID - Type UnspecifiedRN