Cynthia Marie Petermann
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
2001 E Greenville St
Anderson
, South Carolina 29621-1529
Cynthia Marie Petermann
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
2001 E Greenville St
Anderson
, South Carolina 29621-1529
(407) 770-0661
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Cynthia Marie Petermann
- Po Box 616788
- Orlando, FL
- Zip : 32861-6788
- Fax : (407) 770-0661
- Phone : (407) 447-7120
Second Address
- Cynthia Marie Petermann
- 2001 E Greenville St
- Anderson, SC
- Zip : 29621-1529
- Fax : (855) 232-3959
- Phone : (864) 332-3098
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2200X | Nurse Practitioner - Adult Health | 222000 | SC |
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 222000 | SC |
National Provider Identifier
| NPI | 1033399134 |
|---|---|
| Provider Name | Cynthia Marie Petermann |
| First Address | Orlando, FL 32861-6788 |
| Second Address | Anderson, SC 29621-1529 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2007 |
| Last Update Date | 29/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| NP6173 | (05) | SC |
| SCE737I818 | MEDICARE (01) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.