Provider Demographics
NPI:1376591115
Name:GATES-BELLER, CHERYL K (RN)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:K
Last Name:GATES-BELLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:K
Other - Last Name:GATES-BELLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:609 GENDER RD
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-9194
Mailing Address - Country:US
Mailing Address - Phone:614-837-7813
Mailing Address - Fax:614-837-7068
Practice Address - Street 1:609 GENDER RD
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-9194
Practice Address - Country:US
Practice Address - Phone:614-837-7813
Practice Address - Fax:614-837-7068
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 096441163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2106090OtherINDEPENDENT HEALTH CARE