Individual
CHERYLL WANLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3245 NOSTRAND AVENUE, ADVANTAGE CARE PHYSICIANS, P.C., BROOKLYN, NY 11229
(718) 615-3777
(646) 680-2341
Mailing address
455 SUTTER AVE, BROOKLYN, NY 11212-8111
(718) 844-5324
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304603
NY
Other
Enumeration date
07/05/2007
Last updated
02/10/2022
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