Provider Demographics
NPI:1255640611
Name:PATCHIN, CHERRYL ANN (RN)
Entity type:Individual
Prefix:MS
First Name:CHERRYL
Middle Name:ANN
Last Name:PATCHIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:CHERRYL
Other - Middle Name:ANN
Other - Last Name:WESTFALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4805 WECKERLY
Mailing Address - Street 2:
Mailing Address - City:MONCLOVA
Mailing Address - State:OH
Mailing Address - Zip Code:43542
Mailing Address - Country:US
Mailing Address - Phone:419-877-0235
Mailing Address - Fax:
Practice Address - Street 1:4805 WECKERLY
Practice Address - Street 2:
Practice Address - City:MONCLOVA
Practice Address - State:OH
Practice Address - Zip Code:43542
Practice Address - Country:US
Practice Address - Phone:419-877-0235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN290606163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse