Individual provider · Type 1 NPI

Cheryl Kornburger, RN

Pediatric Registered Nurse · Gallup, NM

NPI number 1689257628 Active

Practice location

516 E Nizhoni Blvd
Gallup, NM 87301-5748

Mailing address

N113W16241 Sylvan Cir Unit 216
Germantown, WI 53022-6037

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse Primary 163WP0200X158788-30 (WI)

Pediatric Registered Nurse: Definition to come...

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About NPI 1689257628

Cheryl Kornburger, RN's National Provider Identifier is 1689257628, issued on Apr 28, 2021. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Gallup, NM. The record was last updated on Apr 28, 2021.