Provider Demographics
NPI:1821586561
Name:DARKER, CYNTHIA GEINAI (CNA)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:GEINAI
Last Name:DARKER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 N HILLS DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-2424
Mailing Address - Country:US
Mailing Address - Phone:314-390-1914
Mailing Address - Fax:
Practice Address - Street 1:512 N HILLS DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-2424
Practice Address - Country:US
Practice Address - Phone:314-390-1914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC9845578253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care