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NPI Code Detail

MEDICARE: IVETTE DIANELLE CINTRON-CUBERO FNP-C

MEDICARE: IVETTE DIANELLE CINTRON-CUBERO FNP-C
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
1363L00000XNurse Practitioner5007472NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730570136
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVETTE DIANELLE CINTRON-CUBERO FNP-C
Provider Business Mailing Address
First Line : PO BOX 601843
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-1843
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1035 DALE EARNHARDT BLVD
Second Line :
City : KANNAPOLIS
State : NC
Zip : 28083-4477
Country : US
Telephone Number : 704-316-1886
Fax Number : 704-316-1887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2015
Last Update Date : 01/29/2025

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Directions to “ IVETTE DIANELLE CINTRON-CUBERO FNP-C” Practice Location

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