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Individual

MRS. CHERIE WALLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
17000 PORTER RD STE 201, WINTER GARDEN, FL 34787-8915
(407) 635-3058
(407) 636-7826
Mailing address
PO BOX 919741, ORLANDO, FL 32891-9741
(321) 841-3900
(321) 843-6075

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28175236A
IN
363LF0000X
Family Nurse Practitioner
71004944A
IN
363LF0000X
Family Nurse Practitioner
Primary
APRN11020580
FL

Other

Enumeration date
06/06/2014
Last updated
09/13/2022
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