Provider Demographics
NPI:1497776199
Name:GOLDEN, CHERYL L (APN)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:L
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8544 EDGEMONT RD
Mailing Address - Street 2:
Mailing Address - City:GREERS FERRY
Mailing Address - State:AR
Mailing Address - Zip Code:72067-9401
Mailing Address - Country:US
Mailing Address - Phone:501-825-8800
Mailing Address - Fax:501-825-6319
Practice Address - Street 1:8544 EDGEMONT RD
Practice Address - Street 2:
Practice Address - City:GREERS FERRY
Practice Address - State:AR
Practice Address - Zip Code:72067-9401
Practice Address - Country:US
Practice Address - Phone:501-825-8800
Practice Address - Fax:501-825-6319
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAO1286363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARAO1286OtherA.P.N. LICENSE
AR500020102OtherRAILROAD MEDICARE
AR134352758Medicaid
ARMG0370407OtherDEA NUMBER
ARS54871Medicare UPIN
AR5T885Medicare ID - Type Unspecified