Provider Demographics
NPI:1619544830
Name:TATE, CHERIE NICOLE
Entity Type:Individual
Prefix:PROF
First Name:CHERIE
Middle Name:NICOLE
Last Name:TATE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29624-1844
Mailing Address - Country:US
Mailing Address - Phone:864-209-4037
Mailing Address - Fax:
Practice Address - Street 1:1010 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29624-1844
Practice Address - Country:US
Practice Address - Phone:864-209-4037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide