Provider Demographics
NPI:1184033177
Name:GETTIS, CHERRI E (MSN, FNP)
Entity Type:Individual
Prefix:MRS
First Name:CHERRI
Middle Name:E
Last Name:GETTIS
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5305 W BUCKEYE RD STE B
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85043-4727
Mailing Address - Country:US
Mailing Address - Phone:602-442-9033
Mailing Address - Fax:
Practice Address - Street 1:6611 W BELL RD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-3607
Practice Address - Country:US
Practice Address - Phone:623-334-2953
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP9773363LF0000X
KS76468363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily