Provider Demographics
NPI:1609369800
Name:PRESLEY, CHERYL LYN (RN)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:LYN
Last Name:PRESLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:CHERYL
Other - Middle Name:LYN
Other - Last Name:KREBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:19158 E DICKENSON DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-6443
Mailing Address - Country:US
Mailing Address - Phone:303-257-5852
Mailing Address - Fax:
Practice Address - Street 1:19158 E DICKENSON DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-6443
Practice Address - Country:US
Practice Address - Phone:303-257-5852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0173329163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse