Healthcare Provider Details

I. General information

NPI: 1215847959
Provider Name (Legal Business Name): CYNTHIA HARLING LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 CRESCENT AVE
CHELSEA MA
02150-3009
US

IV. Provider business mailing address

84 JACKSON ST APT 2
CAMBRIDGE MA
02140-1789
US

V. Phone/Fax

Practice location:
  • Phone: 617-889-8779
  • Fax: 617-889-9568
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLN91501
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: