Individual
CHERIDA BLANCHE MATTHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
508 AIRPORT EXECUTIVE PARK, NANUET, NY 10954-5238
(845) 452-2655
Mailing address
508 AIRPORT EXECUTIVE BOULEVARD, NANUET, NY 10958
(845) 452-2655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
670619
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404715
NY
Other
Enumeration date
07/25/2013
Last updated
02/24/2023
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