Provider Demographics
NPI:1679689848
Name:HANES, CYNTHIA W (WHNP)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:W
Last Name:HANES
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4225 MACON POND RD STE 310
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6320
Mailing Address - Country:US
Mailing Address - Phone:919-205-2505
Mailing Address - Fax:919-205-2595
Practice Address - Street 1:4225 MACON POND RD STE 310
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6320
Practice Address - Country:US
Practice Address - Phone:919-205-2505
Practice Address - Fax:919-205-2595
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5004500363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5004500OtherNP LICENSE
TN123694OtherLICENSE