Smith, Cheri Phyllis

Smith, Cheri Phyllis is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Smith, Cheri Phyllis can be contacted via phone (800) 243-1455.

Contact Information

Primary practice address
500 University Dr Hershey PA 17033-2360
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X A1010035 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP011459 Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X RN626571 Pennsylvania

Profile Details

NPI number 1740590371
LBN Legal business name Smith, Cheri Phyllis
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2010
Last updated Dec 16th, 2016 - about 8 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 1740590371 NPPES
Pennsylvania MEDICAID 103102660

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