Cindy Dickerson, R.N.
Individual provider Active NPI Registered Nurse · Cortland, OH
NPI 1013443530 · NPPES record last updated May 3, 2017
Key facts
- NPI
- 1013443530
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 201721 (OH)
- Practice address
- 4683 Everett Hull Rd
Cortland, OH 44410-9727 - Phone
- (330) 638-4142
- NPI assigned
- May 3, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201721 | OH | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201721 | OH | Yes |
| Home Health Aide | 374U00000X | OH | ||
| Nurse's Aide | 376K00000X | OH |
Addresses
Primary practice location
4683 Everett Hull Rd
Cortland, OH 44410-9727
Mailing address
4683 Everett Hull Rd
Cortland, OH 44410-9727
Phone (330) 638-4142
Other providers in Cortland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.