Individual
CYNTHIA DIANE VANDEUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P. ; G.N.P.
Contact information
Practice address
709 N JUSTICE ST, SUITE B, HENDERSONVILLE, NC 28791-3454
(828) 696-1234
(828) 696-1257
Mailing address
PO BOX 63314, CHARLOTTE, NC 28263-3314
(828) 696-1312
(828) 696-1314
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9501592
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000776
—
NC
Enumeration date
08/18/2006
Last updated
02/13/2013
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