Basic Information
Provider Information
NPI: 1780663955
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZEBLEY
FirstName: CHRISTOPHER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 30170
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198057170
CountryCode: US
TelephoneNumber: 3022551300
FaxNumber: 3022551374
Practice Location
Address1: 1400 WASHINGTON STREET
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198015112
CountryCode: US
TelephoneNumber: 3022551300
FaxNumber: 3022551374
Other Information
ProviderEnumerationDate: 01/16/2006
LastUpdateDate: 07/27/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XLB0000164DEY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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