Provider Demographics
NPI:1033327721
Name:FLINN, CHERYL R (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:R
Last Name:FLINN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22359
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68542-2359
Mailing Address - Country:US
Mailing Address - Phone:402-730-6870
Mailing Address - Fax:402-420-6464
Practice Address - Street 1:6891 A ST
Practice Address - Street 2:STE 210
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4111
Practice Address - Country:US
Practice Address - Phone:402-488-9050
Practice Address - Fax:402-488-9059
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE435363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE253968OtherMIDLANDS CHOICE
NE39213OtherBCBS
NE253968OtherMIDLANDS CHOICE