Individual
CYNTHIA D TINKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
933 WOODLAND RD, CREEDMOOR, NC 27522-8353
(919) 943-8724
Mailing address
933 WOODLAND RD, CREEDMOOR, NC 27522-8353
(919) 943-8724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
134597
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4359871
DRIVERS LICENSE
NC
Enumeration date
03/18/2021
Last updated
03/18/2021
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