Provider Demographics
NPI:1952158636
Name:COLEMAN, CYNTHIA CAROLE (RN)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:CAROLE
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ORCHARD CT
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-2901
Mailing Address - Country:US
Mailing Address - Phone:610-804-6401
Mailing Address - Fax:
Practice Address - Street 1:61 E MOUNT KIRK AVE
Practice Address - Street 2:
Practice Address - City:EAGLEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19403-1138
Practice Address - Country:US
Practice Address - Phone:610-539-3474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN501504L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse