NPI 1366168809 · live from the CMS NPI Registry
Cherise Brimmer, FNP
Nurse Practitioner, Family in Surprise, AZ. National Provider Identifier 1366168809, active.
NPI record
| NPI | 1366168809 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 17831 W Boca Raton Rd, Surprise, AZ 85388 |
| Practice phone | 623-203-4262 |
| Enumerated | October 17, 2022 |
| Last updated | February 9, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | 169094 (AZ) |
| Nurse Practitioner, Family primary | 363LF0000X | 285032 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.