Provider Demographics
NPI:1033468343
Name:PARRIS, CHERYL YVONNE (LPN)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:YVONNE
Last Name:PARRIS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 BREMEN STREET
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14621-2368
Mailing Address - Country:US
Mailing Address - Phone:585-208-7148
Mailing Address - Fax:
Practice Address - Street 1:270 BREMEN STREET
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14621-2368
Practice Address - Country:US
Practice Address - Phone:585-208-7148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY270007-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse