Provider Demographics
NPI:1851383319
Name:RAY, CHERYL E (NP)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:E
Last Name:RAY
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:200 MILL ROAD SUITE 180
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-985-2001
Practice Address - Street 1:100 ROSEBROOK WAY 3RD FLOOR
Practice Address - Street 2:
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02571-2097
Practice Address - Country:US
Practice Address - Phone:508-273-4900
Practice Address - Fax:508-273-4901
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2013-05-07
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Provider Licenses
StateLicense IDTaxonomies
NMR 46289363LF0000X
MARN2266370363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily