Provider Demographics
NPI:1679874416
Name:DUNKLE, CINDY L (MSN, PMNHP-BC)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:L
Last Name:DUNKLE
Suffix:
Gender:F
Credentials:MSN, PMNHP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6843 TOWNSHIP ROAD 1008 SE
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:OH
Mailing Address - Zip Code:43730-9765
Mailing Address - Country:US
Mailing Address - Phone:740-621-6268
Mailing Address - Fax:
Practice Address - Street 1:6843 TOWNSHIP ROAD 1008 SE
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:OH
Practice Address - Zip Code:43730-9765
Practice Address - Country:US
Practice Address - Phone:740-621-6268
Practice Address - Fax:949-695-3758
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.365428163W00000X
OHAPRN.CNP.0034050363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3092853Medicaid
OH0031991Medicaid