Healthcare Provider Details

I. General information

NPI: 1831569821
Provider Name (Legal Business Name): CYNTHIA NYE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA ANN NYE NP

II. Dates (important events)

Enumeration Date: 10/02/2015
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 N UNION ST
FOSTORIA OH
44830-2156
US

IV. Provider business mailing address

502 N UNION ST
FOSTORIA OH
44830-2156
US

V. Phone/Fax

Practice location:
  • Phone: 419-934-9664
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.18213
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: