Provider Demographics
NPI:1356623615
Name:MCAFEE, CHERYL LINDA (RD)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:LINDA
Last Name:MCAFEE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 CHILEAN TEAL TER
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-7140
Mailing Address - Country:US
Mailing Address - Phone:202-258-4596
Mailing Address - Fax:301-249-2338
Practice Address - Street 1:1202 CHILEAN TEAL TER
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-7140
Practice Address - Country:US
Practice Address - Phone:202-258-4596
Practice Address - Fax:301-249-2338
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCD1331133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC070732700Medicaid