Individual
CYNTHIA LOUISE OPTHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2400 GORDON SMITH DRIVE, MOBILE, AL 36617
(251) 473-4423
Mailing address
5750-A SOUTHLAND DRIVE, MOBILE, AL 36693
(251) 450-5901
(251) 662-7297
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1037156
AL
363L00000X
Nurse Practitioner
Primary
1037156
AL
363L00000X
Nurse Practitioner
ARNP9191309
FL
Other
Enumeration date
03/19/2007
Last updated
01/25/2008
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