Basic Information
Provider Information
NPI: 1881340966
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SLINGWINE
FirstName: CHERI
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential: PMHNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8920 CHERRY RD
Address2:  
City: VERMILION
State: OH
PostalCode: 440899303
CountryCode: US
TelephoneNumber: 4196390032
FaxNumber:  
Practice Location
Address1: 1912 HAYES AVE
Address2:  
City: SANDUSKY
State: OH
PostalCode: 448704736
CountryCode: US
TelephoneNumber: 4195022800
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/27/2022
LastUpdateDate: 02/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/27/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XAPRN.CNP.0030874OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


Home