Healthcare Provider Details

I. General information

NPI: 1487078937
Provider Name (Legal Business Name): CYNTHIA PAJEROWSKI BSN, RN, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2014
Last Update Date: 02/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 S GOVERNORS AVE
DOVER DE
19904-3523
US

IV. Provider business mailing address

640 S STATE ST
DOVER DE
19901-3530
US

V. Phone/Fax

Practice location:
  • Phone: 302-744-7135
  • Fax: 302-730-3047
Mailing address:
  • Phone: 302-744-7135
  • Fax: 302-730-3047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberL1-0013508
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: