Provider Demographics
NPI:1578077798
Name:ALLEN-BROMAN, CHERYL ANN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:ALLEN-BROMAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:577 BARBARA WAY
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-4901
Mailing Address - Country:US
Mailing Address - Phone:805-660-0070
Mailing Address - Fax:
Practice Address - Street 1:1722 STATE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2458
Practice Address - Country:US
Practice Address - Phone:805-569-1950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-27
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA428598363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health