MEDICARE: CYMONE WILSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	LPN.184717.MEDS-IV	OH

General Provider Information

NPI Number	:	1457210452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYMONE WILSON

Provider Business Mailing Address
First Line	:	15412 RIDPATH AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-1712
Country	:	US
Telephone Number	:	216-345-0184
Fax Number	:

Provider Business Practice Location Address
First Line	:	15412 RIDPATH AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-1712
Country	:	US
Telephone Number	:	216-345-0184
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

Similar Medicare Providers

1922983907 — ANH BUI
Practice Location Address:

10900 EUCLID AVE
CLEVELAND, OH
44106-1712

Practice Phone: 216-368-6459
Practice Fax:

1841372935 — CRANIOFACIAL IMAGING CENTER
Practice Location Address:

10900 EUCLID AVE , CASE SCHOOL OF DENTAL MEDICINE - 3RD FLOOR
CLEVELAND, OH
44106-1712

Practice Phone: 216-368-2674
Practice Fax: 216-368-3204

1780767970 — DR. MASAHIRO HEIMA DDS, PHD
Practice Location Address:

10900 EUCLID AVE
CLEVELAND, OH
44106-1712

Practice Phone: 216-368-1379
Practice Fax:

1336278142 — MS. CONSTANCE CRIHFIELD CRNP
Practice Location Address:

10900 EUCLID AVE
CLEVELAND, OH
44106-1712

Practice Phone: 216-368-2761
Practice Fax: 216-368-8530

1265561534 — MS. MELISSA ANN HORN RN MSN CRNP
Practice Location Address:

10900 EUCLID AVE , FPB SCHOO OF NURSING
CLEVELAND, OH
44106-1712

Practice Phone: 216-368-6277
Practice Fax: 216-368-3542

1699896696 — DR. KATHLEENE ANNE SMACHLO M.D.
Practice Location Address:

10900 EUCLID AVE
CLEVELAND, OH
44106-1712

Practice Phone: 216-368-2457
Practice Fax: 216-368-8548

Directions to “ CYMONE WILSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.