Provider Demographics
NPI:1801431408
Name:CHERISH HEALTHCARE, INCORPORATED
Entity type:Organization
Organization Name:CHERISH HEALTHCARE, INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:314-614-5939
Mailing Address - Street 1:2050 HANNAH DR
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-4591
Mailing Address - Country:US
Mailing Address - Phone:314-614-5939
Mailing Address - Fax:
Practice Address - Street 1:330 1ST CAPITOL DR STE 120
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2846
Practice Address - Country:US
Practice Address - Phone:636-949-7158
Practice Address - Fax:636-949-7195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-07
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty