Provider Demographics
NPI:1104424605
Name:TROUTMAN, CYNTHIA L
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:L
Last Name:TROUTMAN
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 1:9380 SHERMAN RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-2365
Mailing Address - Country:US
Mailing Address - Phone:216-299-7784
Mailing Address - Fax:
Practice Address - Street 1:9380 SHERMAN RD
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026-2365
Practice Address - Country:US
Practice Address - Phone:216-297-7784
Practice Address - Fax:440-688-4307
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty