Cheryl Ann Countryman
Cheryl Ann Countryman is a Nurse Practitioner in Tonopah, Arizona. Qualified in 2023, 3 years ago. Practices with Cogent Healthcare of Kentucky, PSC, a 107-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 3
- Licensed in
- AZ
- In the registry since
- 2024
Practice location Address checks out
5122 N 382nd AveTonopah, AZ 85354-0140
Phone: (160) 237-7811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 245602 (AZ) |
|---|
Record details
| NPI number | 1295593697 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 11, 2024 |
| Last updated in NPPES | March 11, 2024 |
| Certification date | March 10, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Cogent Healthcare Of Kentucky, Psc — 107 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |