Provider Demographics
NPI:1992019137
Name:TALAR-WILLIAMS, CHERYL AGNES (PA-C, MPH)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:AGNES
Last Name:TALAR-WILLIAMS
Suffix:
Gender:F
Credentials:PA-C, MPH
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Other - First Name:
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Mailing Address - Street 1:9000 ROCKVILLE PIKE
Mailing Address - Street 2:NATIONAL INSTITUTES OF HEALTH, BLDG 10, OP11, RM11C409
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-1876
Mailing Address - Country:US
Mailing Address - Phone:301-402-4542
Mailing Address - Fax:
Practice Address - Street 1:9000 ROCKVILLE PIKE
Practice Address - Street 2:NATIONAL INSTITUTES OF HEALTH, BLDG 10, OP11, RM11C409
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1876
Practice Address - Country:US
Practice Address - Phone:301-402-4542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0000725363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical