Provider Demographics
NPI:1134703077
Name:DECKER, CHERIE MARGARET (RN)
Entity Type:Individual
Prefix:MS
First Name:CHERIE
Middle Name:MARGARET
Last Name:DECKER
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 1:32 AVENIDA CORRIDA DE TOROS
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-6526
Mailing Address - Country:US
Mailing Address - Phone:408-348-9653
Mailing Address - Fax:
Practice Address - Street 1:32 AVENIDA CORRIDA DE TOROS
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-6526
Practice Address - Country:US
Practice Address - Phone:408-348-9653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA432078163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse