Provider Demographics
NPI:1285822841
Name:ZLOTNICK, CHERYL (RN DRPH)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:
Last Name:ZLOTNICK
Suffix:
Gender:F
Credentials:RN DRPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1241 SOLANO AVE
Mailing Address - Street 2:#36
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-1752
Mailing Address - Country:US
Mailing Address - Phone:510-526-5609
Mailing Address - Fax:510-601-3913
Practice Address - Street 1:747 52ND ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1809
Practice Address - Country:US
Practice Address - Phone:510-428-3783
Practice Address - Fax:510-601-3913
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA918364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist