Provider Demographics
NPI:1396829198
Name:JULICH, CYNTHIA (FNP-C)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:JULICH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2412 WILKINS DR
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-7268
Mailing Address - Country:US
Mailing Address - Phone:919-776-6000
Mailing Address - Fax:919-776-1751
Practice Address - Street 1:2412 WILKINS DR
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-7268
Practice Address - Country:US
Practice Address - Phone:919-776-6000
Practice Address - Fax:919-776-1751
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200481363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC080065373OtherRR MEDICARE-PITTSBORO
NC52925OtherMEDCOST-SANFORD
NC0151824OtherUNITEDHEALTHCARE-PITTSBOR
NC25528OtherMEDCOST-PITTSBORO
NC0151826OtherUNITEDHEALTHCARE-SANFORD
NC43454OtherBCBS
NC080152361OtherRR MEDCARE-SANFORD
NC152734500OtherUS DEPT OF LABOR
NC7003952Medicaid
NC25528OtherMEDCOST-PITTSBORO
NC43454OtherBCBS
NCR40662Medicare UPIN