Individual
MRS. CHERYL LEE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4158
CT
364SA2200X
Adult Health Clinical Nurse Specialist
4158
CT
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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