Provider Demographics
NPI:1033445499
Name:COLEMAN, CHERYL (RN,MSN,CDE)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:RN,MSN,CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 S. UTICA,
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74104
Mailing Address - Country:US
Mailing Address - Phone:918-579-3381
Mailing Address - Fax:918-579-3305
Practice Address - Street 1:1265 S UTICA AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74104-4243
Practice Address - Country:US
Practice Address - Phone:918-579-3381
Practice Address - Fax:918-579-3305
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-20
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0040683163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator