Healthcare Provider Details

I. General information

NPI: 1144363953
Provider Name (Legal Business Name): CHERYL L KREWSKY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHERYL LENA ROBINSON KREWSKY FNP-BC

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 02/17/2020
Certification Date: 02/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 GAUSE BLVD STE 370
SLIDELL LA
70458-2998
US

IV. Provider business mailing address

1001 GAUSE BLVD # 75
SLIDELL LA
70458-2939
US

V. Phone/Fax

Practice location:
  • Phone: 985-280-6220
  • Fax: 985-280-9228
Mailing address:
  • Phone: 985-280-3609
  • Fax: 985-280-9651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP05069
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP05069
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: