Individual
CHERYL ANN HONEYCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6110 N PORT WASHINGTON RD, GLENDALE, WI 53217-4308
(414) 212-8832
Mailing address
6110 N PORT WASHINGTON RD, GLENDALE, WI 53217-4308
(414) 212-8832
(414) 212-8848
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
108174-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770012056
—
WI
Enumeration date
10/17/2017
Last updated
10/17/2017
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