Provider Demographics
NPI:1538301825
Name:LOVE, CHERYL DENISE (CRNA)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:DENISE
Last Name:LOVE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11618 CHANTICLEER DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-9168
Mailing Address - Country:US
Mailing Address - Phone:210-823-0131
Mailing Address - Fax:
Practice Address - Street 1:511 HEWITT ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2363
Practice Address - Country:US
Practice Address - Phone:210-820-0131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK79699163W00000X
FLAPRN11037468367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse