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MRS. CINDY BLACKWELL ALDRIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
11728 S 226 HWY, SPRUCE PINE, NC 28777-8954
(828) 765-5672
(828) 765-5676
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
(828) 213-1500
(828) 651-6570

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201488
NC
363LA2200X
Adult Health Nurse Practitioner
201488
NC
363LF0000X
Family Nurse Practitioner
201488
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2592851
MEDICARE PTAN
NC
05
7004469
NC
05
NP0935
SC
01
P00411909
RAILROAD MEDICARE
NC
Enumeration date
10/26/2005
Last updated
02/01/2022
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