Provider Demographics
NPI:1992265540
Name:HAUSER, CYNTHIA LYNN (RN NCM DN)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:LYNN
Last Name:HAUSER
Suffix:
Gender:F
Credentials:RN NCM DN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 SANDERS LN
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21550-7773
Mailing Address - Country:US
Mailing Address - Phone:301-616-7814
Mailing Address - Fax:
Practice Address - Street 1:620 SANDERS LN
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-7773
Practice Address - Country:US
Practice Address - Phone:301-616-7814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-20
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR190903163WC0400X
MD4842253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No163WC0400XNursing Service ProvidersRegistered NurseCase Management