Provider Demographics
NPI:1205198819
Name:WALKER, CHERIE ANNE (RN)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:ANNE
Last Name:WALKER
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 1:1467 SANDHURST DR E
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-3551
Mailing Address - Country:US
Mailing Address - Phone:651-249-9081
Mailing Address - Fax:
Practice Address - Street 1:1467 SANDHURST DR E
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-3551
Practice Address - Country:US
Practice Address - Phone:651-249-9081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-10
Last Update Date:2012-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR209204-0163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse