Provider Demographics
NPI:1033738935
Name:STRUBLE, CHERYL MARIE (CPM)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:MARIE
Last Name:STRUBLE
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17871 W BUCKHORN DR
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-5855
Mailing Address - Country:US
Mailing Address - Phone:704-297-5025
Mailing Address - Fax:
Practice Address - Street 1:17871 W BUCKHORN DR
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-5855
Practice Address - Country:US
Practice Address - Phone:704-297-5025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLM221176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife