Provider Demographics
NPI:1770746463
Name:LOVETT, CHERLY DANAYE (LVN)
Entity type:Individual
Prefix:MS
First Name:CHERLY
Middle Name:DANAYE
Last Name:LOVETT
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MS
Other - First Name:CHERLY
Other - Middle Name:DANAYE
Other - Last Name:ERWIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LVN
Mailing Address - Street 1:151 W HANNA ST
Mailing Address - Street 2:
Mailing Address - City:WOLFE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75496-3450
Mailing Address - Country:US
Mailing Address - Phone:903-496-2995
Mailing Address - Fax:
Practice Address - Street 1:151 W HANNA ST
Practice Address - Street 2:
Practice Address - City:WOLFE CITY
Practice Address - State:TX
Practice Address - Zip Code:75496-3450
Practice Address - Country:US
Practice Address - Phone:903-496-2995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX182404164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse