Provider Demographics
NPI:1780559195
Name:BREWER, CHERIE (MSN, APRN (PENDING))
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:
Last Name:BREWER
Suffix:
Gender:F
Credentials:MSN, APRN (PENDING)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 MILL SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-5795
Mailing Address - Country:US
Mailing Address - Phone:405-248-3008
Mailing Address - Fax:
Practice Address - Street 1:2105 MILL SPRINGS CT
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-5795
Practice Address - Country:US
Practice Address - Phone:405-248-3008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKPENDING363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty