Provider Demographics
NPI:1740341965
Name:CHERRY, DONNA ANN (RN,RNFA,CNOR)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:ANN
Last Name:CHERRY
Suffix:
Gender:F
Credentials:RN,RNFA,CNOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 MARINA BAY CT
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07732-1566
Mailing Address - Country:US
Mailing Address - Phone:732-291-5373
Mailing Address - Fax:
Practice Address - Street 1:135 MARINA BAY CT
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07732-1566
Practice Address - Country:US
Practice Address - Phone:732-291-5373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO09474000163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant