Provider Demographics
NPI:1356674550
Name:IRVING, CHERRIE ESTELLA (CNA)
Entity Type:Individual
Prefix:
First Name:CHERRIE
Middle Name:ESTELLA
Last Name:IRVING
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8506 QUAIL CROFT DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-5338
Mailing Address - Country:US
Mailing Address - Phone:832-322-4949
Mailing Address - Fax:
Practice Address - Street 1:8506 QUAIL CROFT DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-5338
Practice Address - Country:US
Practice Address - Phone:832-322-4949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-07
Last Update Date:2009-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8518200376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide