Healthcare Provider Details

I. General information

NPI: 1083571137
Provider Name (Legal Business Name): MANDY LYNNE CUTSHAW FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

90 E MAIN ST STE 2
SYLVA NC
28779-3030
US

IV. Provider business mailing address

121 CULVIN CREEK RD
MARSHALL NC
28753-4763
US

V. Phone/Fax

Practice location:
  • Phone: 828-377-1114
  • Fax: 828-377-1119
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number303415
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: