Underwood, Cheryl

Underwood, Cheryl is an individual health care provider with primary practice located at 28 Park Ave , Williston VT 05495-9701. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Underwood, Cheryl can be contacted via phone (802) 878-1008.

Contact Information

Primary practice address
28 Park Ave Williston VT 05495-9701
Phone: (802) 878-1008
Fax: (802) 872-2679
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 026.0027479 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 101.0134237 Vermont

Profile Details

NPI number 1669979068
LBN Legal business name Underwood, Cheryl
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2018
Last updated Oct 29th, 2020 - 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 1669979068 NPPES
Vermont MEDICAID 14413831

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