Provider Demographics
NPI:1740587575
Name:WHATLEY, CHERYL H (RN)
Entity Type:Individual
Prefix:MISS
First Name:CHERYL
Middle Name:H
Last Name:WHATLEY
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:1199 E 53RD ST
Mailing Address - Street 2:APT.3F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-2356
Mailing Address - Country:US
Mailing Address - Phone:718-968-3554
Mailing Address - Fax:
Practice Address - Street 1:295 FLATBUSH AVENUE EXT
Practice Address - Street 2:5TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3001
Practice Address - Country:US
Practice Address - Phone:718-643-4181
Practice Address - Fax:718-797-8195
Is Sole Proprietor?:No
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY470410-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse