Provider Demographics
NPI:1841223005
Name:DAANE, CHERYL D (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:D
Last Name:DAANE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W162N8241 TAMARACK CT
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-3607
Mailing Address - Country:US
Mailing Address - Phone:262-251-1367
Mailing Address - Fax:262-523-1910
Practice Address - Street 1:W162N8241 TAMARACK CT
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-3607
Practice Address - Country:US
Practice Address - Phone:262-251-1367
Practice Address - Fax:262-523-1910
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI17408031164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse