Individual
CYNTHIA HEINTZ FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3542
Mailing address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3542
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5018581
NC
363LG0600X
Gerontology Nurse Practitioner
5018581
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2021
Last updated
08/25/2023
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