Organization
CHERYL DUNLAP CNP LLC
Active
Organization
CHERYL DUNLAP CNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL DUNLAP CNP (FAMILY NURSE PRACTITIONER)
(937) 694-0815
Entity
Organization
Contact information
Practice address
2267 YORKSHIRE PL, KETTERING, OH 45419-2833
(937) 694-0815
Mailing address
2267 YORKSHIRE PL, KETTERING, OH 45419-2833
(937) 694-0815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10220-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10220-NP
OHIO CERTIFICATE OF AUTHORITY NUMBER
OH
01
—
251704-COA1
OHIO REGISTERED NURSE LICENSE NUMBER
OH
05
—
2912718
—
OH
Enumeration date
06/09/2010
Last updated
06/09/2010
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