Basic Information
Provider Information
NPI: 1588749659
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CLOUD
FirstName: CHERYL
MiddleName: A
NamePrefix: MS.
NameSuffix:  
Credential: APN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: P.O. BOX 191
Address2:  
City: ROCKLAND
State: DE
PostalCode: 197230191
CountryCode: US
TelephoneNumber: 3026514000
FaxNumber: 3026514945
Practice Location
Address1: 1600 ROCKLAND ROAD
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198033607
CountryCode: US
TelephoneNumber: 3026514200
FaxNumber: 6105264661
Other Information
ProviderEnumerationDate: 10/26/2006
LastUpdateDate: 02/13/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LN0000XRN285642LPAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
363LN0005XL10012048DEN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
363L00000XL10012048DEY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363L00000XLM0000122DEN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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