Healthcare Provider Details

I. General information

NPI: 1811934318
Provider Name (Legal Business Name): WENDY G CIPRIANI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 05/06/2021
Certification Date: 05/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 US HIGHWAY 70 W
GOLDSBORO NC
27530-7779
US

IV. Provider business mailing address

2000 PERIMETER PARK DR STE 200
MORRISVILLE NC
27560-8442
US

V. Phone/Fax

Practice location:
  • Phone: 919-739-4808
  • Fax: 919-739-4810
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number200300019
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: