Provider Demographics
NPI:1770299018
Name:FENT, CINDY HAWKINS (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:HAWKINS
Last Name:FENT
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6037 WILLOWDALE RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45502-8917
Mailing Address - Country:US
Mailing Address - Phone:937-510-1665
Mailing Address - Fax:
Practice Address - Street 1:333 N LIMESTONE ST STE 101
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-4250
Practice Address - Country:US
Practice Address - Phone:937-510-1665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0033059363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAPRN.CNP.0033059OtherOHIO BOARD OF NURSING
OHRN.448418OtherOHIO BOARD OF NURSING
F01230074OtherAMERICAN ASSOCIATION OF NURSE PRACTITIONERS (AANP)