Individual
MS. CHERRI LOUISE PENNE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3150 BRISTOL STREET, SUITE 400, COSTA MESA, CA 92626
(949) 266-3700
(949) 266-3750
Mailing address
3150 BRISTOL STREET, SUITE 400, COSTA MESA, CA 92626
(949) 266-3700
(949) 266-3750
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
MP1072557
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PA16919
CA
Other
Enumeration date
11/13/2006
Last updated
12/31/2013
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