Provider Demographics
NPI:1245553080
Name:PERRYMAN, CYNTHIA DENISE (RN-BSN CRRN)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:DENISE
Last Name:PERRYMAN
Suffix:
Gender:F
Credentials:RN-BSN CRRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 FOREST GLEN DR
Mailing Address - Street 2:
Mailing Address - City:WARM SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:31830-2299
Mailing Address - Country:US
Mailing Address - Phone:706-573-8162
Mailing Address - Fax:
Practice Address - Street 1:127 FOREST GLEN DR
Practice Address - Street 2:
Practice Address - City:WARM SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:31830-2299
Practice Address - Country:US
Practice Address - Phone:706-573-8162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN165196163W00000X, 163WA2000X, 163WH0200X, 163WP0809X, 163WR0400X
AL1-117828163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic