Provider Demographics
NPI:1366141699
Name:ALTMAN, CYNTHIA JUNE (RN)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:JUNE
Last Name:ALTMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:BAUGHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5220 LENORAWAY DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-1410
Mailing Address - Country:US
Mailing Address - Phone:919-744-4996
Mailing Address - Fax:
Practice Address - Street 1:14111 CAPITAL BLVD
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-7055
Practice Address - Country:US
Practice Address - Phone:984-245-0050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC329780163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse