Cheryl Ann Countryman, is a
Nurse Practitioner - Acute Care based in Tonopah, Arizona. Cheryl Ann Countryman is licensed to practice in Arizona (license number 245602) and her current practice location is
5122 N 382nd Ave, Tonopah, Arizona. She can be reached at her office (for appointments etc.) via phone at
(160) 237-7811.
NPI number for Cheryl Ann Countryman is 1295593697 and her current mailing address is 5122 N 382nd Ave, Tonopah, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295593697.
Provider's Profile
Full Name | Cheryl Ann Countryman |
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Gender | Female |
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Speciality | Nurse Practitioner - Acute Care |
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Location | 5122 N 382nd Ave, Tonopah, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295593697
- Provider Enumeration Date: 03/11/2024
- Last Update Date: 03/11/2024
Medical Identifiers
Medical identifiers for Cheryl Ann Countryman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295593697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2100X | Nurse Practitioner - Acute Care | 245602 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cheryl Ann Countryman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Cheryl Ann Countryman, 5122 N 382nd Ave, Tonopah, AZ 85354-0140 Ph: (160) 237-7811 | Cheryl Ann Countryman, 5122 N 382nd Ave, Tonopah, AZ 85354-0140 Ph: (160) 237-7811 |
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