National Provider Identifier

Cheryl M Van Lare, NP

Cheryl M Van Lare, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Brockport, NY and a listed phone number of (585) 395-2414.

NPI 1306906904Brockport, NYFamily Nurse Practitioner

Profile Overview

NPI
1306906904
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
December 12, 2006
Last Updated
September 22, 2011

Practice Location

  • 350 New Campus Dr
  • Hazen Student Health Center
  • Brockport, NY 14420-2997

Phone: (585) 395-2414

Mailing Address

  • 80 Saint Paul St
  • Apt. 2G
  • Rochester, NY 14604-1310

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1306906904
Entity Type
Individual
Last Name
Van Lare
First Name
Cheryl
Middle Name
M
Credential
NP
Mailing Street Address
80 Saint Paul St
Mailing Address Line 2
Apt. 2G
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14604-1310
Mailing Country
US
Mailing Phone
(585) 704-8562
Practice Street Address
350 New Campus Dr
Practice Address Line 2
Hazen Student Health Center
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420-2997
Practice Country
US
Practice Phone
(585) 395-2414
Enumeration Date
December 12, 2006
Last Updated
September 22, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)