Provider Demographics
NPI:1609754167
Name:RAYNES, CYNTHIA JEAN
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JEAN
Last Name:RAYNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5045 ELMHAVEN CIR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25313-1847
Mailing Address - Country:US
Mailing Address - Phone:304-533-6580
Mailing Address - Fax:304-533-6580
Practice Address - Street 1:5045 ELMHAVEN CIR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25313-1847
Practice Address - Country:US
Practice Address - Phone:304-533-6580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-23
Last Update Date:2025-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV62709163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency