Individual
CHERYLL L WILLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
490A W ZIA RD, SANTA FE, NM 87505-6996
(505) 913-8900
(505) 913-6441
Mailing address
490A W ZIA RD, NEW MEXICO CANCER CARE ASSOCIATES, SANTA FE, NM 87505-6996
(505) 913-8900
(505) 913-8923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
13235
CA
363L00000X
Nurse Practitioner
Primary
CNP-01513
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62820532
—
NM
Enumeration date
01/11/2007
Last updated
02/11/2013
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