Healthcare Provider Details

I. General information

NPI: 1609897883
Provider Name (Legal Business Name): CHERYL ROSS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHERYL ADELINE GALEGHER NP

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 4TH ST N
FARGO ND
58102-4820
US

IV. Provider business mailing address

3118 9TH ST N
FARGO ND
58102-1342
US

V. Phone/Fax

Practice location:
  • Phone: 218-864-5128
  • Fax:
Mailing address:
  • Phone: 701-280-2486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR23332
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: