National Provider Identifier
Cheryl Marie Nickerson, G.N.P.
Cheryl Marie Nickerson, G.N.P. is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner in Bath, NY and a listed phone number of (607) 661-9114.
Profile Overview
- NPI
- 1205919578
- Provider Type
- Individual
- Primary Specialty
- Gerontology Nurse Practitioner
- Enumeration Date
- October 23, 2006
- Last Updated
- April 27, 2019
Practice Location
- 7009 Rumsey RD Extension
- Bath, NY 14810
Phone: (607) 661-9114
Mailing Address
- 150 Prattsburg RD.
- Naples, NY 14512
Specialties
- Gerontology Nurse Practitioner (363LG0600X)
- Gerontology Nurse Practitioner (363LG0600X)
Full Record
- NPI
- 1205919578
- Entity Type
- Individual
- Last Name
- Nickerson
- First Name
- Cheryl
- Middle Name
- Marie
- Credential
- G.N.P.
- Provider Other Last Name
- Fonaine
- Provider Other First Name
- Cheryl
- Provider Other Middle Name
- Marie
- Provider Other Credential Text
- GNP-BC
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 150 Prattsburg RD.
- Mailing City
- Naples
- Mailing State
- NY
- Mailing ZIP Code
- 14512
- Mailing Country
- US
- Mailing Phone
- (585) 943-1538
- Practice Street Address
- 7009 Rumsey RD Extension
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810
- Practice Country
- US
- Practice Phone
- (607) 661-9114
- Practice Fax
- (607) 664-1020
- Enumeration Date
- October 23, 2006
- Last Updated
- April 27, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gerontology Nurse Practitioner (363LG0600X), Gerontology Nurse Practitioner (363LG0600X)
- Other Identifiers
- 02829629 (NY)