Provider Demographics
NPI:1588972954
Name:ZDANA, CHERYL LYN (FNP-BC)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYN
Last Name:ZDANA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4110
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01888-4110
Mailing Address - Country:US
Mailing Address - Phone:302-945-9730
Mailing Address - Fax:302-945-9732
Practice Address - Street 1:32711 LONG NECK RD
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-6678
Practice Address - Country:US
Practice Address - Phone:302-945-9730
Practice Address - Fax:302-945-9732
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2009011267363LF0000X
DEL10020701163WP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily