Provider Demographics
NPI:1013292143
Name:ZEDAKER, CINDY L (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:L
Last Name:ZEDAKER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 CLOISTER DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2390
Mailing Address - Country:US
Mailing Address - Phone:717-305-7958
Mailing Address - Fax:
Practice Address - Street 1:1600 CLOISTER DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2390
Practice Address - Country:US
Practice Address - Phone:717-391-7092
Practice Address - Fax:717-735-2069
Is Sole Proprietor?:No
Enumeration Date:2011-10-20
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011675363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily