Healthcare Provider Details

I. General information

NPI: 1356581789
Provider Name (Legal Business Name): CYNTHIA L LEWEY CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2009
Last Update Date: 02/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 BACK RD
PLEASANT POINT ME
04667-4119
US

IV. Provider business mailing address

PO BOX 351
PERRY ME
04667-0351
US

V. Phone/Fax

Practice location:
  • Phone: 207-853-0644
  • Fax: 207-853-2347
Mailing address:
  • Phone: 207-853-0644
  • Fax: 207-853-2347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: