Provider Demographics
NPI:1447311741
Name:LESTER, CHERYL L (CNM)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:LESTER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:
Other - Last Name:LESTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNM
Mailing Address - Street 1:7513 BELLE VIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-4421
Mailing Address - Country:US
Mailing Address - Phone:707-972-0211
Mailing Address - Fax:
Practice Address - Street 1:401 BICENTENNIAL WAY
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-2149
Practice Address - Country:US
Practice Address - Phone:707-393-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANMW380367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife