Provider Demographics
NPI:1952172694
Name:ZLOMKE, CHERYL ANN (MSN, RN)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ANN
Last Name:ZLOMKE
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 QUEEN ANNE SQ
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-8421
Mailing Address - Country:US
Mailing Address - Phone:443-608-3541
Mailing Address - Fax:
Practice Address - Street 1:1831 QUEEN ANNE SQ
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-8421
Practice Address - Country:US
Practice Address - Phone:443-608-3541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR213185163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice