Provider Demographics
NPI:1154867695
Name:CHERAMI, CHRISTINE FRANCES (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:FRANCES
Last Name:CHERAMI
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:GALLIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:444 JERSEY AVE
Mailing Address - Street 2:APT 9
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-4000
Mailing Address - Country:US
Mailing Address - Phone:908-752-3416
Mailing Address - Fax:
Practice Address - Street 1:444 JERSEY AVE
Practice Address - Street 2:APT 9
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-4000
Practice Address - Country:US
Practice Address - Phone:908-752-3416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00697900363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner