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Individual

CYNTHIA HENNIGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC, CFNP

Contact information

Practice address
4500 POND WAY, SUITE 170, WOODBRIDGE, VA 22192-5581
(571) 542-4950
(571) 285-1160
Mailing address
4500 POND WAY, SUITE 170, WOODBRIDGE, VA 22192-5581
(571) 542-4950
(571) 285-1160

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024165371
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010374545
VA
05
1679507917
VA
Enumeration date
07/11/2006
Last updated
08/23/2020
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