Provider Demographics
NPI:1023632296
Name:MORRIS, CYNTHIA K (CPM, CDEM)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:K
Last Name:MORRIS
Suffix:
Gender:F
Credentials:CPM, CDEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5812 N US HIGHWAY 24 E
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:46750-9684
Mailing Address - Country:US
Mailing Address - Phone:260-341-5215
Mailing Address - Fax:260-672-3728
Practice Address - Street 1:155 W 8TH ST
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:IN
Practice Address - Zip Code:46783-1037
Practice Address - Country:US
Practice Address - Phone:260-341-5215
Practice Address - Fax:260-672-3728
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN90000015A176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty