Healthcare Provider Details

I. General information

NPI: 1760933014
Provider Name (Legal Business Name): CHERI LYNNE CERRATO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHERI LYNNE CONANT RN

II. Dates (important events)

Enumeration Date: 10/21/2016
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 W GROVE ST STE 1
MIDDLEBORO MA
02346-1862
US

IV. Provider business mailing address

12 W GROVE ST STE 1
MIDDLEBORO MA
02346-1862
US

V. Phone/Fax

Practice location:
  • Phone: 508-371-2531
  • Fax: 508-371-2532
Mailing address:
  • Phone: 508-371-2531
  • Fax: 508-371-2532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2261301
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: