Healthcare Provider Details

I. General information

NPI: 1912362724
Provider Name (Legal Business Name): CYNTHIA JOLENE AMSTER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA AIKEN

II. Dates (important events)

Enumeration Date: 12/21/2015
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 KILDAIRE PARK DR STE 310
CARY NC
27518-8162
US

IV. Provider business mailing address

110 KILDAIRE PARK DR
CARY NC
27518-8161
US

V. Phone/Fax

Practice location:
  • Phone: 919-350-1879
  • Fax:
Mailing address:
  • Phone: 919-350-1879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-06147
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: