Individual
DR. CHERYL RENEE BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
3217 CARDENAS DR NE, ALBUQUERQUE, NM 87110-2540
(505) 280-6246
Mailing address
3217 CARDENAS DR NE, ALBUQUERQUE, NM 87110-2540
(505) 280-6246
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R18198
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP00258
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46830383
—
NM
01
—
NM006A84
BCBS OF NM
NM
Enumeration date
08/29/2006
Last updated
07/21/2015
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