Healthcare Provider Details

I. General information

NPI: 1760390090
Provider Name (Legal Business Name): ANAYA CHERRY
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 21ST ST APT 382
CHARLOTTE NC
28206-3896
US

IV. Provider business mailing address

525 E 21ST ST APT 382
CHARLOTTE NC
28206-3896
US

V. Phone/Fax

Practice location:
  • Phone: 704-437-0085
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2026080120
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: