CYNTHIA MORENO WALLACE NP
NPI 1366770307
Nurse Practitioner in Raleigh, NC

Q: What is Cynthia Wallace's NPI number?

The NPI number for Cynthia Wallace is 1366770307. It was assigned to this individual provider in the NPPES registry on December 3, 2009. The provider is also known as Cynthia Michelle Moreno Np.

Q: What is Cynthia Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Cynthia Wallace was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 03, 2009

3000 NEW BERN AVE, RALEIGH, NC 27610(919) 350-8779(919) 350-8812 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2019, Feb 29, 2016 (2 updates tracked since 2016).

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About Cynthia Moreno Wallace Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CYNTHIA MORENO WALLACE NP (NPI 1366770307) is an individual nurse practitioner in Raleigh, North Carolina, licensed in North Carolina (188951) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1366770307

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCYNTHIA MORENO WALLACECredential: NP

Location Address3000 NEW BERN AVERaleigh, NC 27610-1231

Mailing Address3809 Computer Dr Ste 100Raleigh, NC 27609-6518 · (919) 781-9078 · Fax (919) 719-0147

Phone(919) 350-8779

Fax(919) 350-8812

Sole ProprietorNo

Enumeration DateDecember 3, 2009

Last NPPES UpdateFebruary 6, 20192 updates tracked since enumeration

✔ NPI 1366770307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 188951

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3000 NEW BERN AVE, Raleigh, NC 27610

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Other Names 1

Former Name (1)Cynthia Michelle Moreno Np

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JILL M PAPPALARDI M.D.

Hospitalist