Cheryl Rose Gambal, WHNP

Individual provider Active NPI Nurse Practitioner · River Falls, WI

NPI 1730102237 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1730102237
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
Practice address
210 Lewis St
River Falls, WI 54022-2107
Phone
(715) 425-8003
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
110015-030WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pierce County Reproductive Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X WI Yes

Addresses

Primary practice location

210 Lewis St
River Falls, WI 54022-2107

Mailing address

2006 21 3/8 St Apt 404
Rice Lake, WI 54868-8590
Phone (715) 234-5448

Other providers in River Falls, WI

All providers in River Falls, WI · Nurse Practitioner in Wisconsin

Sources for this page

Verify at the official NPI Registry.