Individual
CHERYL ANN NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
300 S 6TH ST, FORT PIERCE, FL 34950-4221
(772) 252-1125
Mailing address
3357 63RD SQ, VERO BEACH, FL 32966-6553
(302) 521-0712
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0028139
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0000475
DE
Other
Enumeration date
07/14/2011
Last updated
12/08/2016
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