Provider Demographics
NPI:1003457623
Name:ABERSOLD, CHERYL RENAE (APRN)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:RENAE
Last Name:ABERSOLD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3736 US 21 HWY
Mailing Address - Street 2:
Mailing Address - City:HAMPTONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27020-7312
Mailing Address - Country:US
Mailing Address - Phone:740-459-9651
Mailing Address - Fax:
Practice Address - Street 1:624 W MAIN ST
Practice Address - Street 2:
Practice Address - City:YADKINVILLE
Practice Address - State:NC
Practice Address - Zip Code:27055-7804
Practice Address - Country:US
Practice Address - Phone:336-849-7777
Practice Address - Fax:336-849-7778
Is Sole Proprietor?:No
Enumeration Date:2019-10-04
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5021370363LF0000X
FLAPRN11004214363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner