Cheryl Wall, RN BSN CFCN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

MA253471 Issued in MA

Practice address

66 Lee St
Marblehead, MA 01945-3253

Phone

(781) 975-1610

NPI assigned

Sep 13, 2024

Last updated

Sep 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1588490684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 LEE ST",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453253",
            "telephone_number": "781-975-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LEE ST",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453253",
            "telephone_number": "781-975-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "CHERYL",
        "credential": "RN BSN CFCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MA",
            "license": "MA253471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Trick, RDO
• Village Pharmacy of Marblehead Inc.
• Richard Vonrueden, M.D.
• Tammy Lora Waite, TAMMY WAITE, LIC. AC
• Cynthia Walendziewicz Brooks, MD
• Matthew A Wallen
• Corrine A Walsh, COTA/L
• Elayne J Weiner, EDD
• Marcia Lois Weinstein Steinbrook, PHD
• Wellcrest

• General Practice Registered Nurse in Marblehead, MA
• Providers in Marblehead, MA by specialty
• General Practice Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.