Individual
CHERYL LYNN DITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, FNP-BC
Contact information
Practice address
630 FAIRVIEW RD, SUITE 210, SWARTHMORE, PA 19081-2334
(610) 541-0155
Mailing address
630 FAIRVIEW RD, SUITE 210, SWARTHMORE, PA 19081-2334
(610) 541-0155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP014423
PA
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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