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Contact Information

CYNTHIA R ETHERIDGE COLEMAN, RN
87 HAYES ST
STAFFORD, VA22556-8603
 Phone: 518-209-3801
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Wound Care

163WW0000X
 

Ostomy Care

163WX1500X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CYNTHIA R ETHERIDGE COLEMAN · (Female)

NPI Number 1902428543
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 05/16/2020
Last updated 05/16/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 1255344
  • VA Medicaid 1255344
  • VA Other 1255344 HMO, PPO
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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