Provider Demographics
NPI:1154342848
Name:EASTMOND, CHERYL NICOLE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:NICOLE
Last Name:EASTMOND
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:NICOLE
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1300 CORPORATE CENTER WAY
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414
Mailing Address - Country:US
Mailing Address - Phone:561-623-0801
Mailing Address - Fax:
Practice Address - Street 1:7305 N. MILITARY TRAIL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33414
Practice Address - Country:US
Practice Address - Phone:561-422-2331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3118442163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care