Provider Demographics
NPI:1659928166
Name:FERRIER, CINDY
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:FERRIER
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 1:15200 DUNLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-3252
Mailing Address - Country:US
Mailing Address - Phone:301-760-8270
Mailing Address - Fax:
Practice Address - Street 1:15200 DUNLEIGH DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20721-3252
Practice Address - Country:US
Practice Address - Phone:301-760-8270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD84-2631795Medicaid