Individual
ANNE B CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8259
(570) 703-7250
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 703-8259
(570) 703-7250
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4322
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
RN329535L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040322
CONNECTICARE
CT
Enumeration date
08/26/2006
Last updated
06/05/2025
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