Provider Demographics
NPI:1235369992
Name:SORAPARU, CHERI LYNN (MS, CCN, CN)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:LYNN
Last Name:SORAPARU
Suffix:
Gender:F
Credentials:MS, CCN, CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10020 7TH PL SE
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-3834
Mailing Address - Country:US
Mailing Address - Phone:142-576-0852
Mailing Address - Fax:
Practice Address - Street 1:1109 FRONTIER CIR E STE A
Practice Address - Street 2:
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-3442
Practice Address - Country:US
Practice Address - Phone:425-760-8527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-15
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANU60077698133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist