Provider Demographics
NPI:1467755462
Name:STAGGS, CHERISH (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CHERISH
Middle Name:
Last Name:STAGGS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 OLD CINCINNATI PIKE
Mailing Address - Street 2:
Mailing Address - City:WEST UNION
Mailing Address - State:OH
Mailing Address - Zip Code:45693-9489
Mailing Address - Country:US
Mailing Address - Phone:937-544-4860
Mailing Address - Fax:
Practice Address - Street 1:840 OLD CINCINNATI PIKE
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:OH
Practice Address - Zip Code:45693-9489
Practice Address - Country:US
Practice Address - Phone:937-544-4860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN.132214-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse