Healthcare Provider Details

I. General information

NPI: 1063014330
Provider Name (Legal Business Name): CINDY FLEMING FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2020
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1149 EXPERIMENT FARM RD
TROY OH
45373-1071
US

IV. Provider business mailing address

14074 PASCO MONTRA RD
ANNA OH
45302-9708
US

V. Phone/Fax

Practice location:
  • Phone: 937-540-9920
  • Fax: 937-202-0213
Mailing address:
  • Phone: 937-489-0828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number0028000
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0028000
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: