Provider Demographics
NPI:1366471716
Name:DRISCOLL, CHERYL ANN (NP)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ANN
Last Name:DRISCOLL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:138 CHARLOTTE ST
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1308
Mailing Address - Country:US
Mailing Address - Phone:585-393-7502
Mailing Address - Fax:585-393-8334
Practice Address - Street 1:400 FORT HILL AVE
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1159
Practice Address - Country:US
Practice Address - Phone:585-393-7502
Practice Address - Fax:585-393-8334
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF340258-1363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology