Individual provider · NPI-1
Cherika Shantell Bodrick
Nurse's Aide · Charlotte, NC
NPI number1336459148
StatusActive
Last updated in NPPESOct 27, 2010
Details
- NPI
- 1336459148
- Entity type
- Individual (NPI-1)
- Name
- Cherika Shantell Bodrick
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2010
- Last updated
- Oct 27, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | – | – | Yes |
| 372600000X | Adult Companion | – | – | |
| 372500000X | Chore Provider | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 376J00000X | Homemaker | – | – | |
| 172A00000X | Driver | – | – |
Practice location
5941 Providence RdApt 4
Charlotte, NC 28226-6708
Phone 704-905-3346
Mailing address
927 Glenfiddich DrCharlotte, NC 28215-2058
Phone 704-905-3346
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