Provider Demographics
NPI:1063583888
Name:TAGGART, CHERI ANN (C-FNP)
Entity type:Individual
Prefix:
First Name:CHERI
Middle Name:ANN
Last Name:TAGGART
Suffix:
Gender:
Credentials:C-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4668
Mailing Address - Country:US
Mailing Address - Phone:724-222-7920
Mailing Address - Fax:724-222-7930
Practice Address - Street 1:1100 MAIN ST STE 104
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-2737
Practice Address - Country:US
Practice Address - Phone:681-821-2053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH07539363L00000X
PASP010093363L00000X
WV44422363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2441183Medicaid
WV3810001132Medicaid
Q14515Medicare UPIN
OHNP15421Medicare ID - Type Unspecified
OH2441183Medicaid