Cheryl L Connery, RN

Individual provider Active NPI Registered Nurse · Edgerton, WI

NPI 1992029326 · NPPES record last updated Mar 14, 2010

Key facts

NPI
1992029326
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
169037-30 (WI)
Practice address
555 Prestige CT
Edgerton, WI 53534-9390
Phone
(608) 884-2867
NPI assigned
Mar 14, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
169037-30WIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 169037-30 WI Yes

Addresses

Primary practice location

555 Prestige CT
Edgerton, WI 53534-9390

Mailing address

555 Prestige CT
Edgerton, WI 53534-9390
Phone (608) 884-2867

Other providers in Edgerton, WI

All providers in Edgerton, WI · Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.