Provider Demographics
NPI:1780735449
Name:MCLEAN, CHERYL ANN (ARNP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:MCLEAN
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 1:1662 MCKAY CT
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-3529
Mailing Address - Country:US
Mailing Address - Phone:727-744-8686
Mailing Address - Fax:727-222-1884
Practice Address - Street 1:1662 MCKAY CT
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-3529
Practice Address - Country:US
Practice Address - Phone:727-744-8686
Practice Address - Fax:727-222-1884
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3383532363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL765438300Medicaid
FLU2649XMedicare PIN