Cheryl L Brookshier, APNCFNP

Individual provider Active NPI Family Nurse Practitioner · Metropolis, IL

NPI 1407959547 · NPPES record last updated Dec 8, 2020

Key facts

NPI
1407959547
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
3002379 (KY)
Practice address
1203 W 10TH St
Metropolis, IL 62960-2433
Phone
(618) 524-3795
Fax
(618) 524-3211
NPI assigned
Sep 6, 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

LicenseStateTypeSpecialty
25827422ILMDFamily Nurse Practitioner
3002379KYMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25827422 IL
Family Nurse Practitioner 363LF0000X 3002379 KY Yes

Addresses

Primary practice location

1203 W 10TH St
Metropolis, IL 62960-2433

Mailing address

1203 W 10TH St
Metropolis, IL 62960-2433
Phone (618) 524-3795

Other identifiers

IdentifierTypeStateIssuer
0006432010OtherILIL BCBS

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address cbrookshier6136@bhkydirect.com

Other providers in Metropolis, IL

All providers in Metropolis, IL · Family Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.