Provider Demographics
NPI:1508881277
Name:HOLLEMA, CHERYL DENISE (RN FNP BC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:DENISE
Last Name:HOLLEMA
Suffix:
Gender:F
Credentials:RN FNP BC
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:D
Other - Last Name:MOLLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 BEY LEA ROAD
Mailing Address - Street 2:STE B203
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753
Mailing Address - Country:US
Mailing Address - Phone:732-341-0720
Mailing Address - Fax:732-244-6842
Practice Address - Street 1:40 BEY LEA ROAD
Practice Address - Street 2:STE B203
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753
Practice Address - Country:US
Practice Address - Phone:732-341-0720
Practice Address - Fax:732-244-6842
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25NJ00060700208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics