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Individual

CHERI A VANETTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1 OXFORD XING STE 3, NEW HARTFORD, NY 13413-3200
(315) 725-6841
(315) 662-0107
Mailing address
1 OXFORD XING STE 3, NEW HARTFORD, NY 13413-3200
(315) 725-6841
(315) 662-0107

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
704363
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405001
NY

Other

Enumeration date
03/20/2023
Last updated
06/09/2025
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