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NPI Code Detail

MEDICARE: MRS. CYNTHIA R RAY CRNP

MEDICARE: MRS. CYNTHIA R RAY CRNP
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 PractitionerR200559MD

General Provider Information

NPI Number : 1831433788
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA R RAY CRNP
Provider Business Mailing Address
First Line : 11106 QUEENS WOOD TER
Second Line :
City : BOWIE
State : MD
Zip : 20721-2217
Country : US
Telephone Number : 812-345-8933
Fax Number :
Provider Business Practice Location Address
First Line : 8201 ANNAPOLIS RD
Second Line :
City : NEW CARROLLTON
State : MD
Zip : 20784-3016
Country : US
Telephone Number : 301-577-6222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2012
Last Update Date : 11/15/2012

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