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NPI Code Detail

MEDICARE: CHERYL ANN NADEAU FNP

MEDICARE:   CHERYL ANN NADEAU  FNP
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 Practitioner332253NY
2363LP2300XPrimary Care Nurse PractitionerF332253-1NY

General Provider Information

NPI Number : 1750484986
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL ANN NADEAU FNP
Provider Business Mailing Address
First Line : 32 ELMIRA AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-2311
Country : US
Telephone Number : 718-720-9897
Fax Number : 612-659-7101
Provider Business Practice Location Address
First Line : 32 ELMIRA AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-2311
Country : US
Telephone Number : 866-389-2727
Fax Number : 612-659-7101
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 09/14/2016

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Directions to “ CHERYL ANN NADEAU FNP” Practice Location

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