| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Cynthia S. Shump · Cynthia Shump | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | License No: R070035 | [sources] | |||
| First name | Cynthia · Cynthia S. | [sources] | |||
| Last name | Shump | [sources] | |||
| NPI | 1598798985 | [sources] | |||
| Sector | CRNP | [sources] | |||
| Address | 915 TOLL HOUSE AVE, SUITE 103, FREDERICK, MD 21701 · 915 Toll House Avenue, Suite 103, Frederick, MD 21701 | [sources] | |||
| Last change | Last processed | First seen | |||
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States · MMIS
Medical providers deemed ineligible to participate in Maryland's Medicaid program.
United States · MDH
us-medwv-095ecb8cc5974ba8c270424ed90be86a696a7f22 · us-medmd-74e2cd0041ae5c5efe0f009310733699c54b5cedFor experts: raw data explorer
OpenSanctions is free for non-commercial users. Businesses must acquire a data license to use the dataset.
| Address | ||
|---|---|---|
| Full address | Country | |
| 915 Toll House Avenue, Suite 103, Frederick, MD 21701 | United States | |
| United States | Medicaid Management Information System | - | - |