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NPI Code Detail

MEDICARE: MRS. CINDY CREEKMORE CLAYTON R.N., F.N.P.

MEDICARE: MRS. CINDY CREEKMORE CLAYTON R.N., F.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner35045NC

General Provider Information

NPI Number : 1386768091
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CINDY CREEKMORE CLAYTON R.N., F.N.P.
Provider Business Mailing Address
First Line : 767 WOODCOCK RD
Second Line :
City : HENRICO
State : NC
Zip : 27842-9616
Country : US
Telephone Number : 252-537-3425
Fax Number :
Provider Business Practice Location Address
First Line : 141 STORAGE RD
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-8561
Country : US
Telephone Number : 252-443-0318
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/08/2007

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