Cheryl Cruse

Individual provider Active NPI Registered Nurse · Covington, IN

NPI 1831801430 · NPPES record last updated Dec 15, 2022

Key facts

NPI
1831801430
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
28153810A (IN)
Practice address
1600 Liberty St
Covington, IN 47932-1715
Phone
(765) 793-4818
NPI assigned
Dec 15, 2022
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)
No

State licenses

LicenseStateTypeSpecialty
28153810AINMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28153810A IN Yes

Addresses

Primary practice location

1600 Liberty St
Covington, IN 47932-1715

Mailing address

1320 W 1150 N
Perrysville, IN 47974-8058
Phone (217) 304-1872

Other providers in Covington, IN

All providers in Covington, IN · Registered Nurse in Indiana

Sources for this page

Verify at the official NPI Registry.