Individual
MS. CHERYL LEE IZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,PC,BC
Contact information
Practice address
214 DERBY ST, SALEM, MA 01970-5132
(978) 745-5505
Mailing address
214 DERBY ST, SALEM, MA 01970-5132
(978) 745-5505
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
135310
MA
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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