Cynthia L Fort, FNP
Individual provider Active NPI Family Nurse Practitioner · Newport, VT
NPI 1861494064 · NPPES record last updated Oct 25, 2011
Key facts
- NPI
- 1861494064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1010022369 (VT)
- Practice address
- 121 Medical Village Dr
Newport, VT 05855-9834 - Phone
- (802) 334-5929
- Fax
- (802) 487-1051
- NPI assigned
- Jun 1, 2005
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1010022369 | VT | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1010022369 | VT | Yes |
Addresses
Primary practice location
121 Medical Village Dr
Newport, VT 05855-9834
Mailing address
121 Medical Village Dr
Newport, VT 05855-9834
Other providers in Newport, VT
- Jane Deering Fish
- Fitness Elite Physical Therapy LLC
- Douglas Alan Flint
- Debra Folsom
- Laurie Ann Fontaine
- Francis L Pinard OD PC
- Freedom Physical Therapy, P.C
- Maria Freije
- Melissa Frizzell
- Gwenyth Gage
All providers in Newport, VT · Family Nurse Practitioner in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2011. 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.