Revere, Cherie L.

Revere, Cherie L. is an individual health care provider with primary practice located at 2451 Fillingim St Bldg. C, Mobile AL 36617-2238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Revere, Cherie L. can be contacted via phone (251) 445-8242.

Contact Information

Primary practice address
2451 Fillingim St Bldg. C Mobile AL 36617-2238
Phone: (251) 445-8242
Fax: (251) 445-8250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1-052358 Alabama

Profile Details

NPI number 1356396659
LBN Legal business name Revere, Cherie L.
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated May 12th, 2015 - about 9 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 1356396659 NPPES
Alabama Other 51518496 BLUE CROSS
Alabama Other 51507901 BLUE CROSS
Alabama MEDICAID 891006050 BLUE CROSS
Alabama MEDICAID 08332509 BLUE CROSS
Alabama MEDICAID 890009050 BLUE CROSS

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