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NPI Code Detail

MEDICARE: CHERYL CRAMER ARNP

MEDICARE: CHERYL CRAMER ARNP
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
1363LP0222XCritical Care Pediatric Nurse PractitionerARNP1289852FL

General Provider Information

NPI Number : 1386072577
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL CRAMER ARNP
Provider Business Mailing Address
First Line : 4033 TAMPA RD STE 101
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-3224
Country : US
Telephone Number : 813-854-2003
Fax Number : 813-855-2367
Provider Business Practice Location Address
First Line : 10729 QUEENS TOWN DR
Second Line :
City : RIVERVIEW
State : FL
Zip : 33579-7186
Country : US
Telephone Number : 813-672-3497
Fax Number : 813-741-2418
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2013
Last Update Date : 08/05/2016

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