Individual
CHERYL DAVIS-LAND
Active
Individual
CHERYL DAVIS-LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71000734A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
71000734A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007695
M PLAN
IN
01
—
000000545412
ANTHEM
IN
01
—
110200160
RAILROAD MEDICARE
IN
01
—
11478689
CAQH
IN
05
—
200184580
—
IN
01
—
28082714A
RN LICENSE
IN
01
—
35-1994904
TID
IN
01
—
71000734B
CSR
IN
Enumeration date
01/23/2007
Last updated
03/07/2023
Update your record
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