Provider Demographics
NPI:1306390976
Name:LADNER, CHERYL ANN (PSS,CNA)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:LADNER
Suffix:
Gender:F
Credentials:PSS,CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:355 FOXCROFT RD
Mailing Address - Street 2:
Mailing Address - City:HOULTON
Mailing Address - State:ME
Mailing Address - Zip Code:04730-3400
Mailing Address - Country:US
Mailing Address - Phone:207-521-4044
Mailing Address - Fax:
Practice Address - Street 1:355 FOXCROFT RD
Practice Address - Street 2:
Practice Address - City:HOULTON
Practice Address - State:ME
Practice Address - Zip Code:04730-3400
Practice Address - Country:US
Practice Address - Phone:207-521-4044
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME12573747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant