Provider Demographics
NPI:1851375786
Name:RENTMEESTER, CHERYL A (APNP)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:A
Last Name:RENTMEESTER
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 B SCHOOL CREEK TRAIL
Mailing Address - Street 2:
Mailing Address - City:LUXEMBURG
Mailing Address - State:WI
Mailing Address - Zip Code:54217
Mailing Address - Country:US
Mailing Address - Phone:920-845-1370
Mailing Address - Fax:
Practice Address - Street 1:140 B SCHOOL CREEK TRAIL
Practice Address - Street 2:
Practice Address - City:LUXEMBURG
Practice Address - State:WI
Practice Address - Zip Code:54217
Practice Address - Country:US
Practice Address - Phone:920-845-1370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2565363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI2565-033OtherLICENSE
WI002150162Medicare Oscar/Certification
Q52331Medicare UPIN
WI802100008Medicare Oscar/Certification
WI075100047Medicare Oscar/Certification
WI430750014Medicare Oscar/Certification
WI073550069Medicare Oscar/Certification
WI100200027Medicare Oscar/Certification
WI590050022Medicare Oscar/Certification
WI073100026Medicare Oscar/Certification
WIP00255750Medicare PIN
WI000027Medicare Oscar/Certification
WI2565-033OtherLICENSE