Cheryl Brady, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Chesterton, IN
NPI 1083676043 · NPPES record last updated Nov 30, 2007
Key facts
- NPI
- 1083676043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 71000317A (IN)
- Practice address
- 3100 Village Point
Suite 102
Chesterton, IN 46304-9689 - Phone
- (888) 531-2675
- Fax
- (219) 395-1570
- NPI assigned
- Apr 5, 2006
- 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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000317A | IN | MD | Adult Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 71000317A | IN | Yes |
Addresses
Primary practice location
3100 Village Point
Suite 102
Chesterton, IN 46304-9689
Mailing address
3100 Village Point
Suite 102
Chesterton, IN 46304-9689
Phone (888) 531-2675
Other providers in Chesterton, IN
- Tasasha Blanchard
- Morgan Bottiger
- Renee Christine Bowen
- Amy Bowman
- Aaniyah Boyd
- John Patrick Brady
- Katherine Brankin
- Vanessa Trina Bravo
- Kendra Nicole Brazier
- Ma Carmel Quijada Breidigan
All providers in Chesterton, IN · Adult Health Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2007. 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.