Provider Demographics
NPI:1053855007
Name:PAREDES, CHERRY BELLE GALI (FNP)
Entity Type:Individual
Prefix:
First Name:CHERRY BELLE
Middle Name:GALI
Last Name:PAREDES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 W PICADILLY WAY
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-1470
Mailing Address - Country:US
Mailing Address - Phone:562-673-0621
Mailing Address - Fax:
Practice Address - Street 1:2600 W PICADILLY WAY
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1470
Practice Address - Country:US
Practice Address - Phone:562-673-0621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-09
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95005674363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily