Burley, Cheryl Lee

Burley, Cheryl Lee is an individual health care provider with primary practice located at 1743 Sycamore Ave , Kingman AZ 86409-0927. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Burley, Cheryl Lee can be contacted via phone (269) 423-7028.

Contact Information

Primary practice address
1743 Sycamore Ave Kingman AZ 86409-0927
Phone: (269) 423-7028
Fax: (269) 423-8282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704126846 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704126846 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP8175 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP8176 Arizona

Profile Details

NPI number 1760482327
LBN Legal business name Burley, Cheryl Lee
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Oct 15th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760482327 NPPES
Michigan MEDICAID 114987663

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