Provider Demographics
NPI:1689878977
Name:MARION, CINDY L (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:L
Last Name:MARION
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 1:6572 MIDDLE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:OH
Mailing Address - Zip Code:44057-2951
Mailing Address - Country:US
Mailing Address - Phone:440-428-1213
Mailing Address - Fax:
Practice Address - Street 1:6572 MIDDLE RIDGE RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:OH
Practice Address - Zip Code:44057-2951
Practice Address - Country:US
Practice Address - Phone:440-428-1213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN096872164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse