Provider Demographics
NPI:1063248235
Name:HARPER, CHERYL LEE (LPN)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:LEE
Last Name:HARPER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7914 FINCH DR SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98513-5584
Mailing Address - Country:US
Mailing Address - Phone:360-456-3395
Mailing Address - Fax:
Practice Address - Street 1:7914 FINCH DR SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98513-5584
Practice Address - Country:US
Practice Address - Phone:360-456-3395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALP00042886164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse