Healthcare Provider Details

I. General information

NPI: 1245140821
Provider Name (Legal Business Name): CARRON CHRISTINE CHERRIE PHD APRN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5806 11TH AVE W
BRADENTON FL
34209-3631
US

IV. Provider business mailing address

5806 11TH AVE W
BRADENTON FL
34209-3631
US

V. Phone/Fax

Practice location:
  • Phone: 941-545-0049
  • Fax: 941-201-5898
Mailing address:
  • Phone: 941-545-0049
  • Fax: 941-201-5898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. CARRON CHRISTINE CHERRIE
Title or Position: CEO
Credential: APRN
Phone: 941-545-0049