Cynthia Kamelchuk, CRNP
Individual provider Active NPI Pediatric Nurse Practitioner · New Hope, AL
NPI 1417530619 · NPPES record last updated May 4, 2021
Key facts
- NPI
- 1417530619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 1-057097 (AL)
- Practice address
- 156 Church Ave
New Hope, AL 35760-9508 - Phone
- (257) 723-4673
- NPI assigned
- May 4, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-057097 | AL | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-057097 | AL | Yes |
Addresses
Primary practice location
156 Church Ave
New Hope, AL 35760-9508
Mailing address
156 Church Ave
New Hope, AL 35760-9508
Phone (257) 723-4673
Other providers in New Hope, AL
- GNH Inc
- Henderson and Darnell Associates
- Jessica Hoang
- Nancy Susan Hornbuckle
- Kristi Nicole Hubbard
- New Hope Childrens Clinic
- New Hope Family Dentistry P.C.
- Sherry Jean Newton
- Nomad Medical Services
- Stephen B Henderson
All providers in New Hope, AL · Pediatric Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.