Provider Demographics
NPI:1639223563
Name:MOLINARO, CHERI L (RN)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:L
Last Name:MOLINARO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 EAST ST
Mailing Address - Street 2:
Mailing Address - City:JONESVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49250-1007
Mailing Address - Country:US
Mailing Address - Phone:517-849-2151
Mailing Address - Fax:517-849-2880
Practice Address - Street 1:115 EAST ST
Practice Address - Street 2:
Practice Address - City:JONESVILLE
Practice Address - State:MI
Practice Address - Zip Code:49250-1007
Practice Address - Country:US
Practice Address - Phone:517-849-2151
Practice Address - Fax:517-849-2880
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704159850163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4704159850OtherRN LICENSE