Individual
MRS. CHERYL ANN MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3100 DURALEIGH RD, E BROOKS WILKINS FAMILY MEDICINE PA, RALEIGH, NC 27612-8104
(919) 571-6465
(919) 571-6455
Mailing address
264 STAR MAGNOLIA DRIVE, MORRISVILLE, NC 27560
(919) 468-1997
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
046337
NC
164W00000X
Licensed Practical Nurse
229186
NY
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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