Provider Demographics
NPI:1801883657
Name:FAUST, CHERYL A (CRNA)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:FAUST
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1245 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE #301
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6258
Mailing Address - Country:US
Mailing Address - Phone:610-402-8896
Mailing Address - Fax:610-402-9029
Practice Address - Street 1:1200 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6202
Practice Address - Country:US
Practice Address - Phone:610-402-8896
Practice Address - Fax:610-402-9029
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN250748L163W00000X
PA044463367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1343458OtherFIRST PRIORITY
PA1027800010001Medicaid
PA11766013OtherCAQH
PA9771457OtherAETNA
PA1547503OtherGATEWAY
PA82846OtherGEISINGER
PA1343458OtherHIGHMARK
PA2036105000OtherIBC
PA03222601OtherCAPITAL ADVANTAGE
PA1343458OtherKHP CENTRAL
PA9771457OtherAETNA
PA430070490Medicare PIN
PA1027800010001Medicaid