CYNTHIA SUSAN FODNESS CNS NPI 1184690786

NPI Information

NPI: 1184690786
Provider Name: CYNTHIA SUSAN FODNESS, CNS
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
403 E MADISON ST
SOUTH BEND, IN
ZIP 46617
Phone: (574) 234-0061
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Cynthia Susan Fodness, CNS is a psychiatric/mental health clinical nurse specialist in South Bend, IN. Cynthia Susan Fodness, CNS NPI is 1184690786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

403 E MADISON ST
SOUTH BEND, IN
ZIP 46617-322
Phone: (574) 234-0061
Fax: (574) 283-1209

The enumeration date for this NPI number is 2/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	28123166A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q27998	MEDICARE UPIN
2	955190UU	MEDICARE ID-TYPE UNSPECIFIED	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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