Healthcare Provider Details

I. General information

NPI: 1356633663
Provider Name (Legal Business Name): CYNTHIA ZEMERICK RN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 05/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER DRIVE
MORGANTOWN WV
26506
US

IV. Provider business mailing address

PO BOX 149
WORTHINGTON WV
26591-0149
US

V. Phone/Fax

Practice location:
  • Phone: 304-598-4000
  • Fax: 304-598-4910
Mailing address:
  • Phone: 304-287-2967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number58744
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: