Cynthia Ann Ray, REGISTERED NURSE

Individual provider Active NPI Community Health Registered Nurse · Decherd, TN

NPI 1104289941 · NPPES record last updated Mar 30, 2016

Key facts

NPI
1104289941
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Registered Nurse 163WC1500X
License
RN0000156636 (TN)
Practice address
134 Penile Dr
Decherd, TN 37324-4136
Phone
(615) 587-4555
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN0000156636TNMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN0000156636 TN Yes

Addresses

Primary practice location

134 Penile Dr
Decherd, TN 37324-4136

Mailing address

134 Penile Dr
Decherd, TN 37324-4136
Phone (615) 587-4555

Other providers in Decherd, TN

All providers in Decherd, TN · Community Health Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.