Provider Demographics
NPI:1720843980
Name:CUMMINGS, CHERYL LEE (RN)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:LEE
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1585 NE 172ND ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-6028
Mailing Address - Country:US
Mailing Address - Phone:206-229-9011
Mailing Address - Fax:
Practice Address - Street 1:1585 NE 172ND ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-6028
Practice Address - Country:US
Practice Address - Phone:206-229-9011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00102946163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse