Provider Demographics
NPI:1851350383
Name:SCHLEICHER, CHERRI A (APNP)
Entity type:Individual
Prefix:
First Name:CHERRI
Middle Name:A
Last Name:SCHLEICHER
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 CORPORATE CENTER DR
Mailing Address - Street 2:CORPORATE HEALTH SERVICES OCONOMOWOC
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-4840
Mailing Address - Country:US
Mailing Address - Phone:262-560-4901
Mailing Address - Fax:
Practice Address - Street 1:109 AIR PARK DR
Practice Address - Street 2:CORPORATE HEALTH SERVICES WATERTOWN
Practice Address - City:WATERTOWN
Practice Address - State:WI
Practice Address - Zip Code:53094-7400
Practice Address - Country:US
Practice Address - Phone:262-928-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1350 033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI49345800Medicaid