Provider Demographics
NPI:1497234009
Name:CARVER, CHERYL ANN (LVN)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:CARVER
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20504 RED OAK DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:TX
Mailing Address - Zip Code:75758-8835
Mailing Address - Country:US
Mailing Address - Phone:903-921-8523
Mailing Address - Fax:
Practice Address - Street 1:20504 RED OAK DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:TX
Practice Address - Zip Code:75758-8835
Practice Address - Country:US
Practice Address - Phone:903-921-8523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122549164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse