Provider Demographics
NPI:1811993785
Name:SIMONS, CYNTHIA ANN (APRN, BC-PCM)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:SIMONS
Suffix:
Gender:F
Credentials:APRN, BC-PCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 N 12TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-4674
Mailing Address - Country:US
Mailing Address - Phone:740-349-7842
Mailing Address - Fax:
Practice Address - Street 1:2269 CHERRY VALLEY RD SE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-9323
Practice Address - Country:US
Practice Address - Phone:740-344-0311
Practice Address - Fax:740-344-6577
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-167109/NS-08233364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist