Provider Demographics
NPI:1174733091
Name:WILCHER, CHERIE FINLEY (FNP)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:FINLEY
Last Name:WILCHER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 SAINT JAMES CT
Mailing Address - Street 2:KY
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40208-5115
Mailing Address - Country:US
Mailing Address - Phone:719-650-6521
Mailing Address - Fax:
Practice Address - Street 1:12201 BLUEGRASS PKWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-2361
Practice Address - Country:US
Practice Address - Phone:502-568-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2013-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO130162163WG0000X
KY3006938163WP0808X, 163WG0000X
IN71003906A163WP0808X
AZAP4591163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO98237055Medicaid
COCO300648Medicare PIN