MEDICARE: CHERELLE GIANNA GORETTI MEYER ACNP, PMHNP

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
1	363LA2100X	Acute Care Nurse Practitioner	433237	NY
2	163W00000X	Registered Nurse	686338	TX
3	163W00000X	Registered Nurse	974369	NY
4	363LA2100X	Acute Care Nurse Practitioner	NP95035787	CA
5	363LA2100X	Acute Care Nurse Practitioner	11007260	FL
6	163W00000X	Registered Nurse	RN95414993	CA
7	363LA2100X	Acute Care Nurse Practitioner	AP122842	TX

General Provider Information

NPI Number	:	1770837114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERELLE GIANNA GORETTI MEYER ACNP, PMHNP

Provider Business Mailing Address
First Line	:	OPS 701 BOX 3
Second Line	:
City	:	APO
State	:	AP
Zip	:	96555
Country	:	US
Telephone Number	:	808-580-2223
Fax Number	:

Provider Business Practice Location Address
First Line	:	PSC 701 BOX 3
Second Line	:
City	:	APO
State	:	AP
Zip	:	96555-0001
Country	:	US
Telephone Number	:	808-580-2223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2012
Last Update Date	:	05/04/2026

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