Most Relevant Information
Provider Data
| NPI Number: | 1003457623 |
| Provider Name: | CHERYL RENAE ABERSOLD APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11004214 |
Most Important Dates
| Enumeration Date: | 10/04/2019 |
| Last Updated: | 03/21/2024 |
Provider Practice Location
112 IRVIN AVE SW
LIVE OAK
FL
320642214
Practice Location Phone/Fax
| Phone: | 3863306380 |
| Fax: |
Provider Mailing Location
14335 COUNTY ROAD 252
LIVE OAK
FL
320606560
Provider Mailing Phone/Fax
| Phone: | 7404599651 |
| Fax: |