Provider Demographics
NPI:1063924587
Name:BRINSON, CHERYL Y
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:Y
Last Name:BRINSON
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 1:6105 ROSENBLUM CT APT 1C
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23234-0020
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6105 ROSENBLUM COURT
Practice Address - Street 2:APT. 1C
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23234-2323
Practice Address - Country:US
Practice Address - Phone:804-525-0615
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-25
Last Update Date:2017-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty