Individual
CHERYL L MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3500 HOOVER RD, STEVENS POINT, WI 54481
(715) 342-7900
Mailing address
3500 HOOVER RD, STEVENS POINT, WI 54481-5600
(715) 342-7900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112649
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112649
WI STATE RN LICENSE
WI
Enumeration date
01/05/2009
Last updated
10/01/2018
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