Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cynthia Heintz Fulton, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1265025803

Cynthia Heintz Fulton, AGNP-C is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2022, 4 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone: (919) 784-3542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 N Medical Dr Unc-Son Carrington Hall, Chapel Hill, NC 27599-0001 — (919) 966-4260

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 5018581 (NC)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 5018581 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265025803
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedFebruary 15, 2021
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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