Provider Demographics
NPI:1689788713
Name:BRITTON, CHERYL (RN)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:
Last Name:BRITTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48244 NORWEGIAN HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:SOLDIERS GROVE
Mailing Address - State:WI
Mailing Address - Zip Code:54655-7514
Mailing Address - Country:US
Mailing Address - Phone:608-624-5624
Mailing Address - Fax:
Practice Address - Street 1:48244 NORWEGIAN HOLLOW RD
Practice Address - Street 2:
Practice Address - City:SOLDIERS GROVE
Practice Address - State:WI
Practice Address - Zip Code:54655-7514
Practice Address - Country:US
Practice Address - Phone:608-624-5624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38213100Medicaid