Provider Demographics
NPI:1366581803
Name:REA, CYNTHIA A (RN, C, BA)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:A
Last Name:REA
Suffix:
Gender:F
Credentials:RN, C, BA
Other - Prefix:MRS
Other - First Name:CYNTHIA
Other - Middle Name:A
Other - Last Name:REA-BELLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-1622
Mailing Address - Country:US
Mailing Address - Phone:973-838-0322
Mailing Address - Fax:973-492-1930
Practice Address - Street 1:2201 BERGENLINE AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-3582
Practice Address - Country:US
Practice Address - Phone:201-558-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO11081600163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health