Individual
CHERI A HIMMELREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MS FNP
Contact information
Practice address
90 PRESIDENTIAL PLZ, 2ND FLOOR, SYRACUSE, NY 13202-2240
(315) 464-3833
(315) 464-3791
Mailing address
90 PRESIDENTIAL PLZ, 2ND FLOOR, SYRACUSE, NY 13202-2240
(315) 464-3833
(315) 464-3791
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333892-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02499567
—
NY
Enumeration date
10/20/2006
Last updated
04/08/2011
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