Healthcare Provider Details

I. General information

NPI: 1427979053
Provider Name (Legal Business Name): CHERYL LYNN MCGETRICK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHERYL AHO LPN

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 24TH AVE N
FARGO ND
58102-1933
US

IV. Provider business mailing address

514 24TH AVE N
FARGO ND
58102-1933
US

V. Phone/Fax

Practice location:
  • Phone: 701-318-9023
  • Fax: 701-642-0407
Mailing address:
  • Phone: 701-318-9023
  • Fax: 701-642-0407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberR32848
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberR32848
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: