Healthcare Provider Details

I. General information

NPI: 1760141683
Provider Name (Legal Business Name): CYNTHIA CROSS BORTZ DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2021
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 HICKORY BLVD
HUDSON NC
28638-2659
US

IV. Provider business mailing address

3060 HICKORY BLVD
HUDSON NC
28638-2659
US

V. Phone/Fax

Practice location:
  • Phone: 828-418-7403
  • Fax: 828-759-9025
Mailing address:
  • Phone: 828-418-7403
  • Fax: 828-759-9025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024182749
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: