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Individual

CHERYL A MONGERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
300 YORK ST, SUITE B, CORRY, PA 16407-1420
(814) 664-3979
(814) 663-4879
Mailing address
300 YORK ST, SUITE B, CORRY, PA 16407-1420
(814) 664-3979
(814) 663-4879

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
TP003848B
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026526801
UNIVERA HEALTHCARE
NY
01
1992788012
ORGANIZATION TAX ID/NPI
01
9511964
INDEPENDENT HEALTH
NY
Enumeration date
01/06/2006
Last updated
11/25/2009
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