Provider Demographics
NPI:1396016879
Name:MARSLAND, CHERYL (DCN, RDN, LDN)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:
Last Name:MARSLAND
Suffix:
Gender:F
Credentials:DCN, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1381 S PATRICK DR
Mailing Address - Street 2:
Mailing Address - City:PATRICK AFB
Mailing Address - State:FL
Mailing Address - Zip Code:32925-3606
Mailing Address - Country:US
Mailing Address - Phone:321-494-2660
Mailing Address - Fax:
Practice Address - Street 1:1381 S. PATRICK DRIIVE
Practice Address - Street 2:
Practice Address - City:PATRICK SPACE FORCE BASE
Practice Address - State:FL
Practice Address - Zip Code:32925
Practice Address - Country:US
Practice Address - Phone:321-494-2660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-16
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL02999ND133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered