Provider Demographics
NPI:1871999615
Name:CHEEK, NANCY ELIZABETH
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ELIZABETH
Last Name:CHEEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 FOREST ST
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48186-9207
Mailing Address - Country:US
Mailing Address - Phone:210-854-9812
Mailing Address - Fax:
Practice Address - Street 1:515 FOREST ST
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48186-9207
Practice Address - Country:US
Practice Address - Phone:210-854-9812
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-06
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3747P1801XOtherTAXONOMY