IndividualActive
Cheryl Kornburger, RN
NPI 1689257628 · Pediatric Registered Nurse · Gallup, NM
Provider details
- NPI number
- 1689257628
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 158788-30 (WI)
Specialties & taxonomies
Nursing Service Providers
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
Approximate (ZIP-level) locationGet directions
Mailing address
N113w16241 Sylvan Cir Unit 216
Germantown, WI 53022-6037
Registry dates
- Enumerated
- 2021-04-28
- Last updated
- 2021-04-28
- Certified
- 2021-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.