Provider Demographics
NPI:1356409858
Name:DEFRANK, CHERYL H (CANP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:H
Last Name:DEFRANK
Suffix:
Gender:F
Credentials:CANP
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:H
Other - Last Name:LLOYD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2913 WITTERTON PL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8369
Mailing Address - Country:US
Mailing Address - Phone:919-691-4700
Mailing Address - Fax:
Practice Address - Street 1:2605 BLUE RIDGE RD STE 225
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6459
Practice Address - Country:US
Practice Address - Phone:984-222-8000
Practice Address - Fax:984-222-8001
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC89740363LA2200X
NC900245363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health