Provider Demographics
NPI:1396332243
Name:HARPER, CYNTHIA SUE
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:SUE
Last Name:HARPER
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 1:12797 WESTCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8572
Mailing Address - Country:US
Mailing Address - Phone:740-584-1722
Mailing Address - Fax:
Practice Address - Street 1:12797 WESTCHESTER RD
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-8572
Practice Address - Country:US
Practice Address - Phone:740-584-1722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-27
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2305449251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health