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NPI Code Detail

MEDICARE: MS. CHERYL LYNN ELLER CFA

MEDICARE: MS. CHERYL LYNN ELLER CFA
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
1246ZS0410XSurgical Technologist92573TN

General Provider Information

NPI Number : 1942413794
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHERYL LYNN ELLER CFA
Provider Business Mailing Address
First Line : 5309 WEBER RD
Second Line :
City : HERMITAGE
State : TN
Zip : 37076-2201
Country : US
Telephone Number : 615-885-6386
Fax Number :
Provider Business Practice Location Address
First Line : 2202 MURPHY AVE.
Second Line :
City : NASHVILLE
State : TN
Zip : 37203
Country : US
Telephone Number : 615-515-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 07/08/2007

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