Provider Demographics
NPI:1184627606
Name:ZERFOSS, CINDY LYNN (NP)
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:LYNN
Last Name:ZERFOSS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 S MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:VA
Mailing Address - Zip Code:24179-2522
Mailing Address - Country:US
Mailing Address - Phone:540-266-6950
Mailing Address - Fax:540-343-3982
Practice Address - Street 1:204 S MAPLE ST
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:VA
Practice Address - Zip Code:24179-2522
Practice Address - Country:US
Practice Address - Phone:540-266-6950
Practice Address - Fax:540-343-3982
Is Sole Proprietor?:No
Enumeration Date:2005-05-30
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024164513363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010263719Medicaid
VA010263727Medicaid
VA010263727Medicaid
009660C19Medicare PIN