Individual provider · Type 1 NPI
Cynthia Moreno Wallace, NP
Nurse Practitioner · Raleigh, NC
Practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Fax (919) 350-8812
Mailing address
3809 Computer Dr Ste 100
Raleigh, NC 27609-6518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 188951 (NC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1366770307
Cynthia Moreno Wallace, NP's National Provider Identifier is 1366770307, issued on Dec 3, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Raleigh, NC. The record was last updated on Feb 6, 2019.