Individual
CYNTHIA R WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2615 FLAHERTY RD, EKRON, KY 40117-8805
(844) 435-0900
(270) 858-4029
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3002839
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000232256
ANTHEM
KY
01
—
1164657
PASSPORT
KY
01
—
15560077
CAQH
KY
05
—
200399710
—
IN
01
—
2439863000
PASSPORT ADVANTAGE
KY
05
—
78008125
—
KY
Enumeration date
08/12/2006
Last updated
06/25/2024
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