Cheryl Ann Pucci, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

839-033 Issued in WI

Practice address

700 N Westhaven Dr
Oshkosh, WI 54904-6947

Phone

(920) 969-1768

Fax

(920) 267-5222

NPI assigned

Sep 13, 2005

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)

Enrolled

State licenses

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1518952829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E BELL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564993",
            "telephone_number": "920-969-1768",
            "fax_number": "920-486-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N WESTHAVEN DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549046947",
            "telephone_number": "920-969-1768",
            "fax_number": "920-267-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Bowen St",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549014629",
            "country_code": "US",
            "telephone_number": "920-424-1241",
            "fax_number": "920-424-2045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Bowen St",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549014629",
            "country_code": "US",
            "telephone_number": "920-424-1241",
            "fax_number": "920-424-2045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUCCI",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "839-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Homecare Service LLC
• Progressive Step Corp
• Tricia A Promer
• Lauren E Prusky, IDMT
• Psychiatric Consultants SC
• Kayla Pucker, PHARMD
• Indira Pulakandum, MD
• Kathleen Marie Pulley, APNP
• Deo K Pun, DMD
• Brian J Pung, MD

• Family Nurse Practitioner in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.