Individual
CYNTHIA L BOORTZ-MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-6633
(919) 966-4873
Mailing address
101 MANNING DRIVE, CHAPEL HILL, NC 27599
(919) 966-6633
(919) 966-4873
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
212429
NC
367500000X
Certified Registered Nurse Anesthetist
79332
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2618467
MEDICARE
NC
05
—
44327900
—
WI
05
—
NAN626
—
SC
Enumeration date
06/09/2005
Last updated
01/10/2011
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