Individual provider · NPI-1
Cheryl Denise Bordenave, RN
Registered Nurse · Lithonia, GA
NPI number1346690260
StatusActive
Last updated in NPPESJun 21, 2016
Details
- NPI
- 1346690260
- Entity type
- Individual (NPI-1)
- Name
- Cheryl Denise Bordenave
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 21, 2016
- Last updated
- Jun 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | RN257907 | GA | Yes |
| 163WG0000X | Registered Nurse, General Practice | RN257907 | GA | |
| 163WH0200X | Registered Nurse, Home Health | RN257907 | GA |
Practice location
5321 Winding Glen DrLithonia, GA 30038-2398
Phone 678-533-8633
Mailing address
5321 Winding Glen DrLithonia, GA 30038-2398
Phone 678-533-8633
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