Provider Demographics
NPI:1255524732
Name:MURRAY, CHERIE ANNETTE (RN,MS,OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CHERIE
Middle Name:ANNETTE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RN,MS,OTR/L
Other - Prefix:MISS
Other - First Name:CHERIE
Other - Middle Name:ANNETTE
Other - Last Name:CROAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,MS,OTR/L
Mailing Address - Street 1:826 E WOODLAND TRL
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE DU SAC
Mailing Address - State:WI
Mailing Address - Zip Code:53578-2014
Mailing Address - Country:US
Mailing Address - Phone:608-370-6187
Mailing Address - Fax:
Practice Address - Street 1:354 N MAIN ST
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:WI
Practice Address - Zip Code:53575-1426
Practice Address - Country:US
Practice Address - Phone:608-835-3535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO149236163W00000X
WI4571-026225X00000X
MO005126225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No163W00000XNursing Service ProvidersRegistered Nurse