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Cheryl Ann Countryman
Acute Care Nurse Practitioner in Tonopah, Arizona
NPI 1295593697

Cheryl Ann Countryman is an Acute Care Nurse Practitioner based in Tonopah, AZ and is specialized in Acute Care. Cheryl Ann Countryman practices in Tonopah, AZ. The NPI Number for Cheryl Ann Countryman is 1295593697 and holds a License No. 245602 (Arizona).

The current practice location address for Cheryl Ann Countryman is 5122 N 382Nd Ave, Tonopah, AZ and can be reached out via phone at 160-237-7811.

Location: 5122 N 382Nd Ave, Tonopah, AZ, 85354-0140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295593697
Provider Name
Cheryl Ann Countryman
Credential
Provider Entity Type
Individual
Gender
Female
Address
5122 N 382Nd Ave, Tonopah, AZ, 85354-0140
Phone Number
160-237-7811
Fax Number
Provider Enumeration Date
03/11/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
5122 N 382Nd Ave
City
Tonopah
State
Arizona
Zip
85354-0140
Phone Number
160-237-7811
Fax Number
person
Provider Business Mailing Address Details
Address
5122 N 382Nd Ave
City
Tonopah
State
Arizona
Zip
85354-0140
Phone Number
160-237-7811
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
245602 (Arizona)
Definition
Definition to come...
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