Healthcare Provider Details

I. General information

NPI: 1619086287
Provider Name (Legal Business Name): CYNTHIA K VERTEFEUILLE ANP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 EASTCHESTER DR STE 105
HIGH POINT NC
27265-2659
US

IV. Provider business mailing address

1380 EASTCHESTER DR STE 105
HIGH POINT NC
27265-2659
US

V. Phone/Fax

Practice location:
  • Phone: 336-610-1300
  • Fax:
Mailing address:
  • Phone: 336-521-9480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number900362
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number900362
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: