Individual provider · Type 1 NPI

Cheryl Graham

Nurse Practitioner · Kenosha, WI

NPI number 1265327233 Active

Practice location

10105 74th St
Kenosha, WI 53142-7510

Fax (888) 714-0578

Mailing address

2500 W Layton Ave Ste 200
Milwaukee, WI 53221-5434

Other practice locations

  • 2500 W Layton Ave Ste 200, Milwaukee, WI 53221-5434 · (262) 297-7246

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X16880 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265327233

Cheryl Graham's National Provider Identifier is 1265327233, issued on Jun 10, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kenosha, WI. The record was last updated on Sep 16, 2026.