Boortz-Marx, Cynthia L

Boortz-Marx, Cynthia L is an individual health care provider with primary practice located at 101 Manning Dr , Chapel Hill NC 27514-4220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Boortz-Marx, Cynthia L can be contacted via phone (919) 966-6633.

Contact Information

Primary practice address
101 Manning Dr Chapel Hill NC 27514-4220
Phone: (919) 966-6633
Fax: (919) 966-4873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 79332 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 212429 North Carolina

Profile Details

NPI number 1053315804
LBN Legal business name Boortz-Marx, Cynthia L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 10th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053315804 NPPES
Wisconsin MEDICAID 44327900
Wisconsin MEDICAID NAN626
Wisconsin Other 2618467

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