Individual
CHERYL CELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
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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