Cynthia McIlwain
Individual provider Active NPI Adult Companion · Fairmont, WV
NPI 1891148870 · NPPES record last updated Jul 14, 2016
Key facts
- NPI
- 1891148870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Companion 372600000X
- License
- 2326-7885 (WV)
- Practice address
- 317 Quarry Ave
Fairmont, WV 26554-4748 - Phone
- (304) 694-6205
- NPI assigned
- Jul 14, 2016
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2326-7885 | WV | MD | Adult Companion |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 2326-7885 | WV | Yes |
Addresses
Primary practice location
317 Quarry Ave
Fairmont, WV 26554-4748
Mailing address
317 Quarry Ave
Fairmont, WV 26554-4748
Phone (304) 694-6205
Other providers in Fairmont, WV
- Kristina Joann McDougal
- Jacqueline Lee McElroy
- Renee Riffle McGinnis
- Jeannie Rose McGinty
- Sarah Elizabeth McGlone
- Merica McIntire
- Tiffany McIntyre
- Brianna Nicole McKenzie
- Nancy E McKinley
- Kristy Ann McKisic
All providers in Fairmont, WV · Adult Companion in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2016. 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.