Provider Demographics
NPI:1851393094
Name:THOMAS, CHERYL F (RN, MSN, CNS, BC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:F
Last Name:THOMAS
Suffix:
Gender:F
Credentials:RN, MSN, CNS, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4911 BASSWOOD CT
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-2373
Mailing Address - Country:US
Mailing Address - Phone:812-490-2550
Mailing Address - Fax:812-421-2618
Practice Address - Street 1:530 BENTEE WES COURT
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715
Practice Address - Country:US
Practice Address - Phone:812-401-1836
Practice Address - Fax:812-401-8013
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN70000087A364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP22935Medicare UPIN
IN176970Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER