Cherrie A Andersen, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Eureka, CA
NPI 1780672089 · NPPES record last updated Mar 22, 2021
Key facts
- NPI
- 1780672089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 25910 (AZ)
- Practice address
- 2773 Harris Street
Suite a
Eureka, CA 95503-4886 - Phone
- (707) 444-9664
- Fax
- (707) 444-8747
- NPI assigned
- Oct 11, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A53065 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | 25910 | AZ | Yes |
Addresses
Primary practice location
2773 Harris Street
Suite a
Eureka, CA 95503-4886
Mailing address
P.O. Box 496084
Redding, CA 96049-6084
Phone (707) 444-9664
Other practice location 1
2920 N 4th St
Flagstaff, AZ 86004-1816
Phone (928) 522-9400
Other providers in Eureka, CA
- Anna Sofia Amezcua
- Soheila Amin
- Madelin Amir
- Paula Lizette Amis
- Anthony Alexander Anagnostou
- Jessica Andersen
- Amy Anderson
- Anastasia Lorraine Anderson
- Ann Rachel Anderson
- Breanna Marie Anderson
All providers in Eureka, CA · Obstetrics & Gynecology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.