MEDICARE: LYNCHIE CHERILUS APRN

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	163W00000X	Registered Nurse	RN9387383	FL
2	363LF0000X	Family Nurse Practitioner	11010308	FL

General Provider Information

NPI Number	:	1841722766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNCHIE CHERILUS APRN

Provider Business Mailing Address
First Line	:	7110 BURGESS DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7517
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 S DIXIE HWY STE 200
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5421
Country	:	US
Telephone Number	:	561-318-2335
Fax Number	:

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

Provider Enumeration Date	:	03/30/2017
Last Update Date	:	12/11/2020

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