Provider Demographics
NPI:1750921391
Name:PAGEL, CHEYENNE LAKOTA (FNP-C)
Entity type:Individual
Prefix:
First Name:CHEYENNE
Middle Name:LAKOTA
Last Name:PAGEL
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 N NOLAN RIVER RD
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-7085
Mailing Address - Country:US
Mailing Address - Phone:817-468-4343
Mailing Address - Fax:817-740-2254
Practice Address - Street 1:829 N NOLAN RIVER RD
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-7085
Practice Address - Country:US
Practice Address - Phone:817-468-4343
Practice Address - Fax:817-740-2254
Is Sole Proprietor?:No
Enumeration Date:2020-01-12
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX144981363L00000X
TXF01200096363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health