Healthcare Provider Details

I. General information

NPI: 1093744831
Provider Name (Legal Business Name): CYNTHIA LEE ZELLER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BRIGHTER FUTURES PEDIATRICS & LACTATION SERVICES, LLC 172 THOMAS JOHNSON DRIVE, SUITE 200
FREDERICK MD
21702
US

IV. Provider business mailing address

172 THOMAS JOHNSON DRIVE SUITE 200
FREDERICK MD
21702
US

V. Phone/Fax

Practice location:
  • Phone: 301-304-9390
  • Fax: 240-367-9608
Mailing address:
  • Phone: 301-304-9390
  • Fax: 240-367-9608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR108292
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberR108292
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: