Cockram, Cheryl Anne

Cockram, Cheryl Anne is an individual health care provider with primary practice located at 10770 N 46Th St , Tampa FL 33617-3442. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Cockram, Cheryl Anne can be contacted via phone (813) 903-3615.

Contact Information

Primary practice address
10770 N 46Th St Tampa FL 33617-3442
Phone: (813) 903-3615
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1944112 Florida

Profile Details

NPI number 1174577399
LBN Legal business name Cockram, Cheryl Anne
Credentials PHD.,ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jun 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174577399 NPPES
Florida MEDICAID 305697000

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