Individual
CYNTHIA RANDALL ELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1900 W PARK DR, NORTH WILKESBORO, NC 28659-3563
(336) 903-6840
(336) 903-6841
Mailing address
1900 W PARK DR, NORTH WILKESBORO, NC 28659-3563
(336) 903-6840
(336) 903-6841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
139373
NC
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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