Healthcare Provider Details

I. General information

NPI: 1750467692
Provider Name (Legal Business Name): CHERYL ANN FERRIER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 08/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 MOUNT VERNON AVE 4A/B
ALEXANDRIA VA
22305-2640
US

IV. Provider business mailing address

3131 MOUNT VERNON AVE 4A/B
ALEXANDRIA VA
22305-2640
US

V. Phone/Fax

Practice location:
  • Phone: 703-739-8888
  • Fax: 703-519-8728
Mailing address:
  • Phone: 703-739-8888
  • Fax: 703-519-8728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101057586
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: