Doctor Name: | CHERYL CELESTE FLORENCE |
NPI Number: | 1689912693 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 91439 |
Business Practice Address: | 108 W Main Ave Chouteau, OK - 743372821 |
Business Phone Number: | 9184766030 |
Business Fax Number: | |
Mailing Address: | Po Box 315, CHOUTEAU |
State: | OK |
Postal Code: | 743370315 |
Phone Number: | 9184766030 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2013 |
NPI Last Update Date: | 09/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 91439 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |