| Doctor Name: | CHERYL BRADY |
| NPI Number: | 1083676043 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 71000317A |
| Business Practice Address: | 3100 Village Point Suite 102 Chesterton, IN - 463049689 |
| Business Phone Number: | 8885312675 |
| Business Fax Number: | 2193951570 |
| Mailing Address: | 3100 Village Point, Suite 102 CHESTERTON |
| State: | IN |
| Postal Code: | 463049689 |
| Phone Number: | 8885312675 |
| Fax Number: | 2193951570 |
| NPI Enumeration Date: | 04/05/2006 |
| NPI Last Update Date: | 11/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 71000317A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |