MEDICARE: CHEYANNA ISERNHAGEN CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	104614	OK

General Provider Information

NPI Number	:	1154842235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHEYANNA ISERNHAGEN CNP

Provider Business Mailing Address
First Line	:	PO BOX 776084
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6084
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 W MEMORIAL RD STE 901
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-8378
Country	:	US
Telephone Number	:	405-242-4030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2017
Last Update Date	:	12/26/2025

Similar Medicare Providers

1649535915 — DR. ANAND KUMAR MD
Practice Location Address:

4200 W MEMORIAL RD STE 310
OKLAHOMA CITY, OK
73120-8378

Practice Phone: 405-749-7014
Practice Fax: 405-749-7024

1114311271 — ANDREW MICHAEL VITALE M.D.
Practice Location Address:

4200 W MEMORIAL RD STE 901
OKLAHOMA CITY, OK
73120-8378

Practice Phone: 405-749-4230
Practice Fax:

1467837880 — AHMAD AL-TAEE M.D.
Practice Location Address:

4200 W MEMORIAL RD STE 310
OKLAHOMA CITY, OK
73120-8378

Practice Phone: 405-749-7014
Practice Fax: 405-749-7024

1588537872 — AUTUMN DETRICK APRN-CNM
Practice Location Address:

4200 W MEMORIAL RD STE 901
OKLAHOMA CITY, OK
73120-8378

Practice Phone: 405-242-4030
Practice Fax: 405-242-4031

1558319889 — EVERGREEN AT CARSON CITY, L.L.C.
Practice Location Address:

3050 N ORMSBY BLVD
CARSON CITY, NV
89703-8378

Practice Phone: 775-841-4646
Practice Fax: 775-841-4650

1942454103 — MINDY ANN DAMON M.S., CCC-SLP
Practice Location Address:

3050 N ORMSBY BLVD
CARSON CITY, NV
89703-8378

Practice Phone: 775-841-4646
Practice Fax:

Directions to “ CHEYANNA ISERNHAGEN CNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.