Provider Demographics
NPI:1073179263
Name:CUTRUFELLO, COURTNEY BETH (RN)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:BETH
Last Name:CUTRUFELLO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4513 KENNING PARK DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-9096
Mailing Address - Country:US
Mailing Address - Phone:207-974-6587
Mailing Address - Fax:
Practice Address - Street 1:4513 KENNING PARK DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-9096
Practice Address - Country:US
Practice Address - Phone:207-974-6587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC298905163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse