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Individual

CHERYL CELIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
67 MAIN ST, MEDWAY, MA 02053-1817
(866) 389-2727
Mailing address
67 MAIN ST, MEDWAY, MA 02053-1817
(866) 389-2727

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP111004
ME
363LF0000X
Family Nurse Practitioner
Primary
042560-23
NH
363LF0000X
Family Nurse Practitioner
AP111004
ME
363LF0000X
Family Nurse Practitioner
RN224847
MA
363LF0000X
Family Nurse Practitioner
SP009345
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689833568
ME
Enumeration date
06/05/2008
Last updated
11/14/2018
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