Provider Demographics
NPI:1447061239
Name:HUMMEL, CHERISEE NICOLETTE (RN)
Entity type:Individual
Prefix:
First Name:CHERISEE
Middle Name:NICOLETTE
Last Name:HUMMEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CHERISEE
Other - Middle Name:NICOLETTE
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 873710
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99687-3710
Mailing Address - Country:US
Mailing Address - Phone:972-922-1322
Mailing Address - Fax:
Practice Address - Street 1:670 W FIREWEED LN STE 160
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-2561
Practice Address - Country:US
Practice Address - Phone:907-770-0862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK193386163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse