Provider Demographics
NPI:1003285966
Name:HERRLE, CHERYL DOREEN (CNP)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:DOREEN
Last Name:HERRLE
Suffix:
Gender:F
Credentials:CNP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 636256 CENTRAL CREDENTIALING
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0001
Mailing Address - Country:US
Mailing Address - Phone:513-585-5505
Mailing Address - Fax:513-585-5511
Practice Address - Street 1:222 PIEDMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-4231
Practice Address - Country:US
Practice Address - Phone:513-475-7400
Practice Address - Fax:513-475-8201
Is Sole Proprietor?:No
Enumeration Date:2015-09-22
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY1085551363LG0600X
OHRN 227407363LG0600X
OHCOA 18008 NP363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology