Zandra E. Cephas, ASPT,CPT
Individual provider Active NPI Technician/Technologist · Fruitland, MD
NPI 1780100735 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1780100735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Technician/Technologist 156F00000X
- License
- 681104140001 (MD)
- Practice address
- 202 Holly St
Fruitland, MD 21826-2005 - Phone
- (410) 726-6573
- Fax
- (410) 831-3548
- NPI assigned
- Aug 21, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 681104140001 | MD | MD | Technician/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wings of Life Mobile LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | 681104140001 | MD | Yes |
Addresses
Primary practice location
202 Holly St
Fruitland, MD 21826-2005
Mailing address
202 Holly St
Fruitland, MD 21826-2005
Phone (410) 726-6573
Other providers in Fruitland, MD
- Nicole Bailey
- Katheryn Ann Baker
- Carey Chiropractic P.a.
- Maria Luisa Carey
- Christie Cox
- Crossroads Play Therapy & Counseling, LLC
- Lynn Marie Derickson
- Megan Dingus
- Distracted Excellence LLC
All providers in Fruitland, MD · Technician/Technologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.