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EQUILLA V CHERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1835 GILMORE AVE, LAKELAND, FL 33805-3017
(863) 519-0575
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
APRN9293530
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0042099
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
407054
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9293530
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020480700
FL
Enumeration date
04/28/2016
Last updated
05/08/2026
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