Provider Demographics
NPI:1750974861
Name:JOSHUA, CHERYL LYNN
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYNN
Last Name:JOSHUA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:LYNN
Other - Last Name:JOSHUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CHERYL DEE
Mailing Address - Street 1:2450 CHANDLER AVE STE 11
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-4059
Mailing Address - Country:US
Mailing Address - Phone:702-236-8920
Mailing Address - Fax:702-435-3463
Practice Address - Street 1:2450 CHANDLER AVE STE 11
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-4059
Practice Address - Country:US
Practice Address - Phone:792-236-8920
Practice Address - Fax:702-435-3463
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant