CHERYL HALL WIDEMAN

GALENA, AK
NPI1215301981
Former NameCHERYL YVONNE HALL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AK  174519)
Additional Taxonomies282N00000X General Acute Care Hospital
Enumeration Date2015-11-18
Last Update Date2021-06-29
Business Address
Mrs. CHERYL HALL WIDEMAN NP
77 ANTOSKI RD.
GALENA, AK 99741
Phone number: 907-656-1366
Mailing Address
Mrs. CHERYL HALL WIDEMAN NP
3065 MOUNT MORIAH DR
WHITEVILLE, TN 38075-7231
Phone number: 901-734-4278