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NPI Code Detail

MEDICARE: CHERISE QUEEN

MEDICARE: CHERISE QUEEN
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerSP034739PA

General Provider Information

NPI Number : 1609730944
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERISE QUEEN
Provider Business Mailing Address
First Line : 2395 LANCASTER PIKE FL 1
Second Line :
City : READING
State : PA
Zip : 19607-2375
Country : US
Telephone Number : 570-561-2990
Fax Number : 833-411-5741
Provider Business Practice Location Address
First Line : 2395 LANCASTER PIKE FL 1
Second Line :
City : READING
State : PA
Zip : 19607-2375
Country : US
Telephone Number : 570-561-2990
Fax Number : 833-411-5741
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 04/07/2026

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Directions to “ CHERISE QUEEN ” Practice Location

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