Provider Demographics
NPI:1780338418
Name:THUM, CINDY
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:THUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4126 SPRING MEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-7720
Mailing Address - Country:US
Mailing Address - Phone:330-896-4165
Mailing Address - Fax:
Practice Address - Street 1:4126 SPRING MEADOW CIR
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-7720
Practice Address - Country:US
Practice Address - Phone:330-896-4165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker