Nickerson, Cheryl Marie

Nickerson, Cheryl Marie is an individual health care provider with primary practice located at 7009 Rumsey Rd Extension , Bath NY 14810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Nickerson, Cheryl Marie can be contacted via phone (607) 661-9114.

Contact Information

Primary practice address
7009 Rumsey Rd Extension Bath NY 14810
Phone: (607) 661-9114
Fax: (607) 664-1020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X F340488-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 340488 New York

Profile Details

NPI number 1205919578
LBN Legal business name Nickerson, Cheryl Marie
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Apr 27th, 2019 - about 6 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 1205919578 NPPES
New York MEDICAID 02829629

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