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NPI Code Detail

MEDICARE: CHERYL H DEFRANK CANP

MEDICARE: CHERYL H DEFRANK CANP
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
1363LA2200XAdult Health Nurse Practitioner89740NC
2363LF0000XFamily Nurse Practitioner900245NC

General Provider Information

NPI Number : 1356409858
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL H DEFRANK CANP
Provider Business Mailing Address
First Line : 2913 WITTERTON PL
Second Line :
City : RALEIGH
State : NC
Zip : 27614-8369
Country : US
Telephone Number : 919-691-4700
Fax Number :
Provider Business Practice Location Address
First Line : 2605 BLUE RIDGE RD STE 225
Second Line :
City : RALEIGH
State : NC
Zip : 27607-6459
Country : US
Telephone Number : 984-222-8000
Fax Number : 984-222-8001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 10/31/2023

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