Provider Demographics
NPI:1700110129
Name:ANDERSON, CHERYL (PCD(DONA))
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:PCD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 MAIN ST APT 1413
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8844
Mailing Address - Country:US
Mailing Address - Phone:713-654-9414
Mailing Address - Fax:
Practice Address - Street 1:2016 MAIN ST APT 1413
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8844
Practice Address - Country:US
Practice Address - Phone:713-654-9414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula