Provider Demographics
NPI:1992024467
Name:WHEELER, CINDY LYN (LPN)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:LYN
Last Name:WHEELER
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 1:1695 BURSTOCK CT
Mailing Address - Street 2:APT D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-3356
Mailing Address - Country:US
Mailing Address - Phone:614-949-3153
Mailing Address - Fax:
Practice Address - Street 1:1695 BURSTOCK CT
Practice Address - Street 2:APT D
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43206-3356
Practice Address - Country:US
Practice Address - Phone:614-949-3153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN138164164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse