Healthcare Provider Details

I. General information

NPI: 1285651786
Provider Name (Legal Business Name): ANNALISA CHERY N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

863 BOWSPRIT RD STE 304
CHULA VISTA CA
91914-4529
US

IV. Provider business mailing address

863 BOWSPRIT RD STE 304
CHULA VISTA CA
91914-4529
US

V. Phone/Fax

Practice location:
  • Phone: 619-734-0494
  • Fax:
Mailing address:
  • Phone: 619-734-0494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95004135
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: