Provider Demographics
NPI:1538385661
Name:CLAWSON, CYNTHIA ANN (RN BSN)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:CLAWSON
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5626 SANDPIPER LN
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45424-4539
Mailing Address - Country:US
Mailing Address - Phone:937-829-8888
Mailing Address - Fax:937-236-5618
Practice Address - Street 1:5626 SANDPIPER LN
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45424-4539
Practice Address - Country:US
Practice Address - Phone:937-236-3618
Practice Address - Fax:937-236-5618
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-191376163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health