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Individual

MRS. CYNTHIA HEATHER WRENN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1214 VAUGHN RD, BURLINGTON, NC 27217-2863
(336) 530-0000
Mailing address
3166 NC 150, REIDSVILLE, NC 27320-9723
(910) 470-5051

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
146511
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146511
RN LICENSURE
NC
Enumeration date
08/16/2012
Last updated
08/16/2012
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