MRS. CYNTHIA L. VANDEMARK MSN WHNP-BC NPI 1881023224

NPI Information

NPI: 1881023224
Provider Name: MRS. CYNTHIA L. VANDEMARK, MSN, WHNP-BC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
1250 RALSTON AVE STE 205
DEFIANCE, OH
ZIP 43512
Phone: (419) 782-5774
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MRS. Cynthia L. Vandemark, MSN, WHNP-BC is a women's health nurse practitioner in Defiance, OH with 11 years of experience. MRS. Cynthia L. Vandemark, MSN, WHNP-BC NPI is 1881023224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1250 RALSTON AVE STE 205
DEFIANCE, OH
ZIP 43512-310
Phone: (419) 782-5774
Fax: (419) 782-6103

The NPI 1881023224 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/6/2013 and was last updated on 11/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	RN-284906-COA-1	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0095549	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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