Doctor Name: | MRS. CHERYL A CHRISMAN |
NPI Number: | 1730150202 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | 5225 |
Business Practice Address: | 1060 Gaffney Rd Commander, Usa-meddac-ak,attn:mcuc-mmd-qm Fort Wainwright, AK - 997035001 |
Business Phone Number: | 9073535418 |
Business Fax Number: | 9073534845 |
Mailing Address: | 1060 Gaffney Rd, Commander, Usa-meddac-ak,attn:mcuc-mmd-qm FORT WAINWRIGHT |
State: | AK |
Postal Code: | 997035001 |
Phone Number: | 9073535418 |
Fax Number: | 9073534845 |
NPI Enumeration Date: | 01/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 5225 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |