Provider Demographics
NPI:1700776366
Name:PANFORD, CYNTHIA (RN)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:PANFORD
Suffix:
Gender:X
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E 6TH ST UNIT 3100
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-5692
Mailing Address - Country:US
Mailing Address - Phone:978-590-8425
Mailing Address - Fax:
Practice Address - Street 1:100 E 6TH ST UNIT 3
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-5681
Practice Address - Country:US
Practice Address - Phone:978-590-8425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2261662163WM0705X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical