Provider Demographics
NPI:1265044630
Name:ALLEN, CHERRELLE RENEE
Entity Type:Individual
Prefix:
First Name:CHERRELLE
Middle Name:RENEE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5430 CINDY LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-7266
Mailing Address - Country:US
Mailing Address - Phone:513-806-8302
Mailing Address - Fax:
Practice Address - Street 1:5430 CINDY LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-7266
Practice Address - Country:US
Practice Address - Phone:513-806-8302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide