Healthcare Provider Details

I. General information

NPI: 1205921707
Provider Name (Legal Business Name): CHERYL ANN THOMPSON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHERYL ANN WALTERS ARNP

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 03/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6718 HATTERAS DR
LAKE WORTH FL
33467-7934
US

IV. Provider business mailing address

6458 LINTON BLVD
DELRAY BEACH FL
33484-6400
US

V. Phone/Fax

Practice location:
  • Phone: 561-312-5621
  • Fax:
Mailing address:
  • Phone: 561-404-2225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP3269782
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: