Provider Demographics
NPI:1710280441
Name:DURAN, CHERRI MARIE (PUBLIC HEALTH NURSE)
Entity Type:Individual
Prefix:MRS
First Name:CHERRI
Middle Name:MARIE
Last Name:DURAN
Suffix:
Gender:F
Credentials:PUBLIC HEALTH NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 MOUNT VERNON AVE CALIFORNIA CHILDREN'S SERVICES
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-3302
Mailing Address - Country:US
Mailing Address - Phone:661-868-0312
Mailing Address - Fax:661-868-0265
Practice Address - Street 1:1800 MOUNT VERNON AVE CALIFORNIA CHILDREN'S SERVICES
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-3302
Practice Address - Country:US
Practice Address - Phone:661-868-0312
Practice Address - Fax:661-868-0265
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-20
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA268920163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse