Individual
CHERYL UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
28 PARK AVE, WILLISTON, VT 05495-9701
(802) 878-1008
(802) 872-2679
Mailing address
363 CARPENTER HILL RD, SAINT ALBANS, VT 05478-6096
(802) 345-8161
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
026.0027479
VT
363LF0000X
Family Nurse Practitioner
Primary
101.0134237
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14413831
—
VT
Enumeration date
04/11/2018
Last updated
10/29/2020
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