Individual
MS. CYNTHIA RAY CULP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
951 E PLAZA DR, SUITE NUMBER 110, EAGLE, ID 83616-6566
(208) 938-5680
(208) 938-5679
Mailing address
1199 N MACAILE WAY, EAGLE, ID 83616-6919
(208) 938-5680
(208) 938-5679
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
N-20880 NP-365
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805112500
—
ID
Enumeration date
07/14/2005
Last updated
12/14/2012
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