Healthcare Provider Details

I. General information

NPI: 1427708767
Provider Name (Legal Business Name): CYNTHIA MORTON ATTAWAY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 10/11/2022
Certification Date: 10/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 TATE BLVD SE STE 186
HICKORY NC
28602-4042
US

IV. Provider business mailing address

PO BOX 707
GLEN ALPINE NC
28628-0707
US

V. Phone/Fax

Practice location:
  • Phone: 828-303-2131
  • Fax: 828-320-8348
Mailing address:
  • Phone: 828-448-8071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5015981
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: