Ms Cheryl L Lustig, APNP | |
1650 S 41st St, Manitowoc, WI 54220-7316 | |
(920) 320-4500 | |
(920) 682-9378 |
Full Name | Ms Cheryl L Lustig |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1650 S 41st St, Manitowoc, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821300443 | NPI | - | NPPES |
1821300443 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4126-33 (Wisconsin) | Primary |
Entity Name | Kenosha Community Health Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265435960 PECOS PAC ID: 0941195168 Enrollment ID: O20040217000840 |
Mailing Address | Practice Location Address |
---|---|
Ms Cheryl L Lustig, APNP 9000 W Wisconsin Ave # Ms 958, Milwaukee, WI 53226-4874 Ph: (414) 266-7615 | Ms Cheryl L Lustig, APNP 1650 S 41st St, Manitowoc, WI 54220-7316 Ph: (920) 320-4500 |
Barbara J Backus, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-4500 Fax: 920-682-9378 | |
Jessica L Lietzan, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-2436 | |
Veronica Mcfarlane, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-2436 | |
Nicole Artamenko, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-2436 | |
Brenda Stallbaum, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 339 Reed Ave, Manitowoc, WI 54220 Phone: 920-320-8600 | |
Angela R Vandewettering, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Bayshore Dr, Manitowoc, WI 54220 Phone: 920-682-6376 | |
Andrew Allen Malkowski, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 926 S 8th St, Manitowoc, WI 54220 Phone: 920-683-4230 Fax: 920-683-4902 |