Individual
CYNTHIA BRANTLEY
Active
Individual
CYNTHIA BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5000950
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5000950
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063468601
—
NC
01
—
1604W
BCBSNC
NC
Enumeration date
05/25/2006
Last updated
12/07/2016
Update your record
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