Culp, Cynthia Ray
Culp, Cynthia Ray is an sole proprietor health care provider with primary practice located at 951 E Plaza Dr Suite Number 110, Eagle ID 83616-6566. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Culp, Cynthia Ray can be contacted via phone (208) 938-5680.Contact Information
Primary practice address
951 E Plaza Dr Suite Number 110
Eagle ID 83616-6566
Phone: (208) 938-5680
Fax: (208) 938-5679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | N-20880 NP-365 | Idaho |
Profile Details
| NPI number | 1386643146 |
|---|---|
| LBN Legal business name | Culp, Cynthia Ray |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Dec 14th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386643146 | NPPES |
| Idaho | MEDICAID | 805112500 |
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