Provider Demographics
NPI:1780765982
Name:TOULOUSE, CHERYL LYNN (FNP)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:LYNN
Last Name:TOULOUSE
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:7119 KNOTTY OAK LN
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20112-3234
Mailing Address - Country:US
Mailing Address - Phone:703-494-5858
Mailing Address - Fax:703-491-1416
Practice Address - Street 1:ENDOCRINE AND DIABETES CENTER
Practice Address - Street 2:2200 OPITZ BLVD, SUITE 250
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:20112
Practice Address - Country:US
Practice Address - Phone:703-494-5858
Practice Address - Fax:703-491-1416
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0024110573363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP73781Medicare UPIN