Individual
CYNTHIA GAIL FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3801 BARRETT DR, RALEIGH, NC 27609-7224
(919) 870-8409
(877) 622-8953
Mailing address
3801 BARRETT DR, RALEIGH, NC 27609-7224
(919) 870-8409
(877) 622-8953
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-080820
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5022407
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009009580
AMERICAN NURSES CREDENTIALING CENTER
AL
Enumeration date
12/25/2012
Last updated
09/11/2025
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