Individual
MRS. CHERYL A. BLIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
425 WIND RIDGE DR, WAUSAU, WI 54401-4149
(715) 847-2812
(715) 847-2619
Mailing address
425 WIND RIDGE DR, WAUSAU, WI 54401-4149
(715) 847-2812
(715) 847-2619
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5375
WI
363LX0106X
Occupational Health Nurse Practitioner
Primary
5375
WI
Other
Enumeration date
08/07/2013
Last updated
02/06/2020
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