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NPI Code Detail

MEDICARE: CYNTHIA K VERTEFEUILLE ANP-C

MEDICARE:   CYNTHIA K VERTEFEUILLE  ANP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician900362NC
2363L00000XNurse Practitioner900362NC

General Provider Information

NPI Number : 1619086287
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA K VERTEFEUILLE ANP-C
Provider Business Mailing Address
First Line : 3803 N ELM ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-2593
Country : US
Telephone Number : 866-633-2446
Fax Number :
Provider Business Practice Location Address
First Line : 3803 N ELM ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-2593
Country : US
Telephone Number : 866-633-2446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 01/13/2016

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Directions to “ CYNTHIA K VERTEFEUILLE ANP-C” Practice Location

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