Healthcare Provider Details

I. General information

NPI: 1871525345
Provider Name (Legal Business Name): CHERYL N. ALSEN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 E SILVER SPRINGS BLVD 226
OCALA FL
34470-6831
US

IV. Provider business mailing address

1520 E HIGHWAY 316
CITRA FL
32113-3728
US

V. Phone/Fax

Practice location:
  • Phone: 352-369-3320
  • Fax: 352-369-3324
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP3115882
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: