Provider Demographics
NPI:1720349855
Name:O'NEILL, CYNTHIA ANN (STNA)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:ANN
Last Name:O'NEILL
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 HANNA AVE
Mailing Address - Street 2:APT 10
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-3115
Mailing Address - Country:US
Mailing Address - Phone:513-253-5737
Mailing Address - Fax:
Practice Address - Street 1:603 HANNA AVE
Practice Address - Street 2:APT 10
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-3115
Practice Address - Country:US
Practice Address - Phone:513-253-5737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
379568400501376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide