Provider Demographics
NPI:1093744831
Name:ZELLER, CYNTHIA LEE (CRNP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:LEE
Last Name:ZELLER
Suffix:
Gender:F
Credentials:CRNP
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:172 THOMAS JOHNSON DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702
Mailing Address - Country:US
Mailing Address - Phone:301-304-9390
Mailing Address - Fax:240-367-9608
Practice Address - Street 1:BRIGHTER FUTURES PEDIATRICS & LACTATION SERVICES, LLC
Practice Address - Street 2:172 THOMAS JOHNSON DRIVE, SUITE 200
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702
Practice Address - Country:US
Practice Address - Phone:301-304-9390
Practice Address - Fax:240-367-9608
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR108292363LP0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD006NB031Medicare PIN
S55736Medicare UPIN