MEDICARE: CHERYL F THOMAS RN, MSN, CNS, BC

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	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist	70000087A	IN

General Provider Information

NPI Number	:	1851393094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL F THOMAS RN, MSN, CNS, BC

Provider Business Mailing Address
First Line	:	4911 BASSWOOD CT
Second Line	:
City	:	NEWBURGH
State	:	IN
Zip	:	47630-2373
Country	:	US
Telephone Number	:	812-490-2550
Fax Number	:	812-421-2618

Provider Business Practice Location Address
First Line	:	530 BENTEE WES COURT
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715
Country	:	US
Telephone Number	:	812-401-1836
Fax Number	:	812-401-8013

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	08/23/2023

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