Individual provider · Type 1 NPI
Cheryl B. Phoenix
Adult Health Nurse Practitioner · Brooklyn, NY
NPI number
1104290188
Active
Practice location
443 Fenimore St
Brooklyn, NY 11225-5905
Fax (718) 771-0513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F307556-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1104290188
Cheryl B. Phoenix's National Provider Identifier is 1104290188, issued on Nov 13, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Brooklyn, NY. The record was last updated on Nov 13, 2015.