Provider Demographics
NPI:1891554861
Name:PIRTLE, CHERIE SHAUNTE (APRN)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:SHAUNTE
Last Name:PIRTLE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6829 HICKORY RIM CT
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-5690
Mailing Address - Country:US
Mailing Address - Phone:219-743-8348
Mailing Address - Fax:
Practice Address - Street 1:309 QUECREEK CIR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6849
Practice Address - Country:US
Practice Address - Phone:615-355-5432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000035820363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner