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NPI Code Detail

MEDICARE: DR. CHERYL R DUKE FNP-BC, PHD

MEDICARE: DR. CHERYL R DUKE FNP-BC, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner201717NC

General Provider Information

NPI Number : 1174509368
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHERYL R DUKE FNP-BC, PHD
Provider Business Mailing Address
First Line : 401 MOYE BLVD
Second Line : 2C303 GREENVILLE VA HEALTH CARE CENTER
City : GREENVILLE
State : NC
Zip : 27834
Country : US
Telephone Number : 252-830-2149
Fax Number :
Provider Business Practice Location Address
First Line : 401 MOYE BLVD
Second Line : 2C303
City : GREENVILLE
State : NC
Zip : 27834-2885
Country : US
Telephone Number : 252-830-2149
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 12/04/2014

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