Cynthia Ray Culp, FNP
Nurse Practitioner, Family in Eagle, ID. Individual provider (NPI-1).
NPI number1386643146
StatusActive
Last updated in NPPESDec 14, 2012
Details
- NPI
- 1386643146
- Entity type
- Individual (NPI-1)
- Name
- Ms. Cynthia Ray Culp
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 14, 2005
- Last updated
- Dec 14, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | N-20880 NP-365 | ID | Yes |
Practice location
951 E Plaza DrSuite Number 110
Eagle, ID 83616-6566
Phone 208-938-5680 · Fax 208-938-5679
Mailing address
1199 N Macaile WayEagle, ID 83616-6919
Phone 208-938-5680 · Fax 208-938-5679
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