Healthcare Provider Details

I. General information

NPI: 1679874416
Provider Name (Legal Business Name): CINDY L DUNKLE MSN, PMNHP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2010
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6843 TOWNSHIP ROAD 1008 SE
CORNING OH
43730-9765
US

IV. Provider business mailing address

6843 TOWNSHIP ROAD 1008 SE
CORNING OH
43730-9765
US

V. Phone/Fax

Practice location:
  • Phone: 740-621-6268
  • Fax: 949-695-3758
Mailing address:
  • Phone: 740-621-6268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.365428
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0034050
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: