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NPI Profile for CHERYL M NICKERSON in BATH, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner |
| NPI Number | 1205919578 |
|
| Status | Active | |
| Credentials | G.N.P. | |
| Entity | Individual | |
| Enumeration date | 10/23/2006 | |
| Last updated | 04/27/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CHERYL M NICKERSON
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CHERYL M NICKERSON, G.N.P.