Provider Demographics
NPI:1275682080
Name:CHERYL A. RYERSON, CFA, PC
Entity Type:Organization
Organization Name:CHERYL A. RYERSON, CFA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:RYERSON
Authorized Official - Suffix:
Authorized Official - Credentials:CFA
Authorized Official - Phone:505-832-8982
Mailing Address - Street 1:PO BOX 3699
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:NM
Mailing Address - Zip Code:87015-3699
Mailing Address - Country:US
Mailing Address - Phone:505-832-8982
Mailing Address - Fax:505-832-8983
Practice Address - Street 1:3700 OSUNA RD NE
Practice Address - Street 2:SUITE 614
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4492
Practice Address - Country:US
Practice Address - Phone:505-341-0070
Practice Address - Fax:505-341-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM00F751246ZS0410X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00F751OtherCERTIFICATION
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