Healthcare Provider Details
I. General information
NPI: 1831340181
Provider Name (Legal Business Name): NANCY HATCHER CHERRY FNP-BC, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/06/2008
Last Update Date: 05/01/2020
Certification Date: 05/01/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
360 3RD ST STE 425
SAN FRANCISCO CA
94107-2164
US
IV. Provider business mailing address
360 3RD ST STE 425
SAN FRANCISCO CA
94107-2164
US
V. Phone/Fax
- Phone: 800-929-0926
- Fax: 833-914-0435
- Phone: 800-929-0926
- Fax: 833-914-0435
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 727229 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | 1814 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 18305 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: