Provider Demographics
NPI:1477565836
Name:FERDINANDSEN, CYNTHIA PILON (CRNA)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:PILON
Last Name:FERDINANDSEN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1236 HUFFMAN MILL RD
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8700
Mailing Address - Country:US
Mailing Address - Phone:336-585-1770
Mailing Address - Fax:336-585-1771
Practice Address - Street 1:1236 HUFFMAN MILL RD
Practice Address - Street 2:ANESTHESIA DEPARTMENT
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8700
Practice Address - Country:US
Practice Address - Phone:336-585-1770
Practice Address - Fax:336-585-1771
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC121065367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8049986Medicaid
NC2626929AMedicare ID - Type Unspecified