Provider Demographics
NPI:1760827547
Name:DUNN, CHERYL WARD (RN)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:WARD
Last Name:DUNN
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 1:4921 DURANT AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-4706
Mailing Address - Country:US
Mailing Address - Phone:843-745-7107
Mailing Address - Fax:843-554-5716
Practice Address - Street 1:4921 DURANT AVE
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-4706
Practice Address - Country:US
Practice Address - Phone:843-745-7107
Practice Address - Fax:843-554-5716
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC770348163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool