Provider Demographics
NPI:1295016939
Name:CHEERS, SHONDA ROCHELLE (RN)
Entity Type:Individual
Prefix:MISS
First Name:SHONDA
Middle Name:ROCHELLE
Last Name:CHEERS
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 1:2207 CREHORE ST
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44052-3215
Mailing Address - Country:US
Mailing Address - Phone:440-541-5087
Mailing Address - Fax:
Practice Address - Street 1:2207 CREHORE ST
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-3215
Practice Address - Country:US
Practice Address - Phone:440-541-5087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH367996163W00000X, 163WH0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0500XNursing Service ProvidersRegistered NurseHemodialysis