Provider Demographics
NPI:1497274443
Name:ATRAGA, CHERU F (DNP/FNP)
Entity Type:Individual
Prefix:DR
First Name:CHERU
Middle Name:F
Last Name:ATRAGA
Suffix:
Gender:M
Credentials:DNP/FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 HADLEY ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01118-2334
Mailing Address - Country:US
Mailing Address - Phone:857-236-0829
Mailing Address - Fax:
Practice Address - Street 1:86 HADLEY ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01118-2334
Practice Address - Country:US
Practice Address - Phone:857-236-0829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-11
Last Update Date:2017-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2265536363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner