Provider Demographics
NPI:1164417234
Name:CHERAMIE, ELVINA ANN LORRAINE (APRNC)
Entity Type:Individual
Prefix:MRS
First Name:ELVINA
Middle Name:ANN LORRAINE
Last Name:CHERAMIE
Suffix:
Gender:F
Credentials:APRNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 W 63RD ST
Mailing Address - Street 2:
Mailing Address - City:CUT OFF
Mailing Address - State:LA
Mailing Address - Zip Code:70345-3319
Mailing Address - Country:US
Mailing Address - Phone:985-632-3938
Mailing Address - Fax:
Practice Address - Street 1:133 W 112TH ST
Practice Address - Street 2:
Practice Address - City:CUT OFF
Practice Address - State:LA
Practice Address - Zip Code:70345-3629
Practice Address - Country:US
Practice Address - Phone:985-632-5567
Practice Address - Fax:985-632-5573
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN047874 AP01206363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health