Healthcare Provider Details

I. General information

NPI: 1467790758
Provider Name (Legal Business Name): CHERYL LYNN FIEDLER CRNA/APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2013
Last Update Date: 01/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 WESCOTT DRIVE HUNTERDON MEDICAL CENTER
FLEMINGTON NJ
08822
US

IV. Provider business mailing address

2200 WESCOTT DRIVE HUNTERDON MEDICAL CENTER
FLEMINGTON NJ
08822
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-6180
  • Fax:
Mailing address:
  • Phone: 908-788-6180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number26NO05688700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN223105L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: