Individual
CHERYL NEWBOLD-THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-9980
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71001133A
IN
367A00000X
Advanced Practice Midwife
Primary
09000163A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200350090
—
IN
Enumeration date
10/31/2005
Last updated
05/04/2021
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