Provider Demographics
NPI:1285380535
Name:WESTON, CHERYL ANN (RN)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:WESTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:117 TYGER ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-6833
Mailing Address - Country:US
Mailing Address - Phone:508-277-9800
Mailing Address - Fax:
Practice Address - Street 1:4 CARRIAGE LN STE 301
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6050
Practice Address - Country:US
Practice Address - Phone:843-266-7573
Practice Address - Fax:833-941-2359
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-25
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1538695846363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty