Provider Demographics
NPI:1437289923
Name:MENNEL, CHERYL A (CHERYL MENNEL)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:A
Last Name:MENNEL
Suffix:
Gender:F
Credentials:CHERYL MENNEL
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:MENNEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CHERYL MENNEL
Mailing Address - Street 1:2101 E RIVER RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-6508
Mailing Address - Country:US
Mailing Address - Phone:520-529-2226
Mailing Address - Fax:520-577-5307
Practice Address - Street 1:2101 E RIVER RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6508
Practice Address - Country:US
Practice Address - Phone:520-529-2226
Practice Address - Fax:520-577-5307
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28047913A163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool