Healthcare Provider Details

I. General information

NPI: 1740651942
Provider Name (Legal Business Name): CATREINA DINNETE CHERRY-MAX AGNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATREINA DINNETE CHERRY

II. Dates (important events)

Enumeration Date: 10/13/2015
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 MERIDIAN PKWY STE 323
DURHAM NC
27713-4232
US

IV. Provider business mailing address

717 GREEN VALLEY RD STE 200
GREENSBORO NC
27408-2156
US

V. Phone/Fax

Practice location:
  • Phone: 984-227-8902
  • Fax:
Mailing address:
  • Phone: 336-544-4800
  • Fax: 866-404-5349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number255273
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number5008381
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5008381
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: