Individual
CYNTHIA R DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
WASHINGTON ST, 110 MCCOMAS HALL- VA TECH, BLACKSBURG, VA 24061-0001
(540) 231-6569
(540) 231-6900
Mailing address
WASHINGTON ST, 110 MCCOMAS HALL- VA TECH, BLACKSBURG, VA 24061-0001
(540) 231-6569
(540) 231-6900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024058343
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024058343
NP LICENSE NUMBER
VA
Enumeration date
05/08/2007
Last updated
07/08/2007
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