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Individual

MARY CHERRICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, ARNP

Contact information

Practice address
200 HAWKINS DR. E 257 GH/, UNIVERSITY OF IOWA/CPH/PREVENTIVE INTERVENTION CENTER, IOWA CITY, IA 52252
(319) 384-5030
(319) 384-5045
Mailing address
3100 FALCON DR NE, CEDAR RAPIDS, IA 52402-2636
(319) 393-6538

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
080578
IA
363L00000X
Nurse Practitioner
Primary
A-080578
IA

Other

Enumeration date
04/02/2014
Last updated
04/02/2014
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