Provider Demographics
NPI:1053660423
Name:BUECHLER, CHERYL LOU (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:LOU
Last Name:BUECHLER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N7812 RIGHT OF WAY RD
Mailing Address - Street 2:
Mailing Address - City:CRIVITZ
Mailing Address - State:WI
Mailing Address - Zip Code:54114-7661
Mailing Address - Country:US
Mailing Address - Phone:715-854-2982
Mailing Address - Fax:
Practice Address - Street 1:N7812 RIGHT OF WAY RD
Practice Address - Street 2:
Practice Address - City:CRIVITZ
Practice Address - State:WI
Practice Address - Zip Code:54114-7661
Practice Address - Country:US
Practice Address - Phone:715-854-2982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI315824-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse