CHERILYN MARK FNP NPI 1508280710

NPI Information

NPI: 1508280710
Provider Name: CHERILYN MARK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1510 CAPITOLA RD
SANTA CRUZ, CA
ZIP 95062
Phone: (831) 427-3500
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Cherilyn Mark, FNP is a family nurse practitioner in Santa Cruz, CA. Cherilyn Mark, FNP NPI is 1508280710. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1510 CAPITOLA RD
SANTA CRUZ, CA
ZIP 95062-912
Phone: (831) 427-3500

The NPI 1508280710 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/7/2014 and was last updated on 12/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		95042257	CALIFORNIA	No
2	163W00000X	Registered Nurse		672574	NEW YORK	No
3	363LF0000X	Nurse Practitioner	Family	339454	NEW YORK	No
4	363LF0000X	Nurse Practitioner	Family	95006134	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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