Doctor Name: | CYNTHIA CARTER ALSTON |
NPI Number: | 1225376122 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, NP |
License Number: | 26NJ00411500 |
Business Practice Address: | 5101 N Park Dr Pennsauken, NJ - 081094643 |
Business Phone Number: | 8566658844 |
Business Fax Number: | 8566651888 |
Mailing Address: | 6508 Deer Pointe Dr, Suite A SALISBURY |
State: | MD |
Postal Code: | 218041668 |
Phone Number: | 4105431957 |
Fax Number: | 4105438492 |
NPI Enumeration Date: | 01/28/2013 |
NPI Last Update Date: | 01/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00411500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |