Provider Demographics
NPI:1114400397
Name:SINDBERG, CHERISE (NP)
Entity Type:Individual
Prefix:
First Name:CHERISE
Middle Name:
Last Name:SINDBERG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CHERISE
Other - Middle Name:
Other - Last Name:DECORAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6630 COVERED BRIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:SUN PRAIRIE
Mailing Address - State:WI
Mailing Address - Zip Code:53590-3878
Mailing Address - Country:US
Mailing Address - Phone:608-843-8045
Mailing Address - Fax:
Practice Address - Street 1:6630 COVERED BRIDGE TRL
Practice Address - Street 2:
Practice Address - City:SUN PRAIRIE
Practice Address - State:WI
Practice Address - Zip Code:53590-3878
Practice Address - Country:US
Practice Address - Phone:608-843-8045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-13
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI195999163WC0200X
MN2467240163WC0200X
WI13468363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine