Provider Demographics
NPI:1083704365
Name:DULANEY, CHERRI LYNETTE (LPN)
Entity Type:Individual
Prefix:
First Name:CHERRI
Middle Name:LYNETTE
Last Name:DULANEY
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 1:3 BELLADONNA LN
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-9423
Mailing Address - Country:US
Mailing Address - Phone:540-288-7066
Mailing Address - Fax:
Practice Address - Street 1:3 BELLADONNA LN
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-9423
Practice Address - Country:US
Practice Address - Phone:540-288-7066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0002064473311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home