Provider Demographics
NPI:1730661067
Name:KAPPEL, CHERYL LYNNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:LYNNE
Last Name:KAPPEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2619 WESTWOOD MAIN DR
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77807-2610
Mailing Address - Country:US
Mailing Address - Phone:979-229-4423
Mailing Address - Fax:
Practice Address - Street 1:2619 WESTWOOD MAIN DR
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77807-2610
Practice Address - Country:US
Practice Address - Phone:979-229-4423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX618274163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse