Healthcare Provider Details

I. General information

NPI: 1972643484
Provider Name (Legal Business Name): CYNTHIA ANN HOOVER R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 GARFIELD AVE
PARKERSBURG WV
26101-5340
US

IV. Provider business mailing address

3205 2ND AVE
VIENNA WV
26105-1503
US

V. Phone/Fax

Practice location:
  • Phone: 304-424-2400
  • Fax: 304-420-7139
Mailing address:
  • Phone: 304-210-8365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number50918
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: