Provider Demographics
NPI:1043616816
Name:KORMAN, CHERIE HANAHN (RN)
Entity Type:Individual
Prefix:MS
First Name:CHERIE
Middle Name:HANAHN
Last Name:KORMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 FOURTH AVE.
Mailing Address - Street 2:#226
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-3407
Mailing Address - Country:US
Mailing Address - Phone:206-755-0441
Mailing Address - Fax:
Practice Address - Street 1:2400 FOURTH AVE.
Practice Address - Street 2:#226
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-3407
Practice Address - Country:US
Practice Address - Phone:206-755-0441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA78462163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA386853Medicaid