Provider Demographics
NPI:1942288477
Name:ESTACION, CHERI GRACE (ARNP)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:GRACE
Last Name:ESTACION
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 N JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2934
Mailing Address - Country:US
Mailing Address - Phone:305-651-7239
Mailing Address - Fax:305-651-6595
Practice Address - Street 1:3663 S MIAMI AVE
Practice Address - Street 2:KOHLY CENTER AT MERCY
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4253
Practice Address - Country:US
Practice Address - Phone:305-285-2977
Practice Address - Fax:305-651-6595
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-05
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2858472363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU2937ZMedicare NSC
FLQ23056Medicare UPIN