Provider Demographics
NPI:1740259738
Name:NYPAVER, CYNTHIA F (CNM)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:F
Last Name:NYPAVER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3590 LUCILLE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-2674
Mailing Address - Country:US
Mailing Address - Phone:513-475-7588
Mailing Address - Fax:513-475-8598
Practice Address - Street 1:3590 LUCILLE DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45213-2674
Practice Address - Country:US
Practice Address - Phone:513-475-7588
Practice Address - Fax:513-475-8598
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNM05275367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200800150CMedicaid
OH2264464Medicaid
OHNYNM02273Medicare ID - Type Unspecified