Provider Demographics
NPI:1982591681
Name:CHENEY, ELANI (RN)
Entity type:Individual
Prefix:
First Name:ELANI
Middle Name:
Last Name:CHENEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:CHENEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2550 YELLOW ROCK W
Mailing Address - Street 2:
Mailing Address - City:DE SOTO
Mailing Address - State:MO
Mailing Address - Zip Code:63020-4313
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:151 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:FESTUS
Practice Address - State:MO
Practice Address - Zip Code:63028-4134
Practice Address - Country:US
Practice Address - Phone:314-313-3221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041504171163W00000X
MO2018026330163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse