Individual
CHERYL LEE BURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1743 SYCAMORE AVE, KINGMAN, AZ 86409-0927
(269) 423-7028
(269) 423-8282
Mailing address
PO BOX 178, PAW PAW, MI 49079-0178
(269) 657-2550
(269) 657-2285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704126846
MI
363LF0000X
Family Nurse Practitioner
AP8176
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704126846
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP8175
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114987663
—
MI
Enumeration date
07/26/2005
Last updated
10/15/2015
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