Provider Demographics
NPI:1093528952
Name:WHITE, CHERI L (CNS)
Entity type:Individual
Prefix:
First Name:CHERI
Middle Name:L
Last Name:WHITE
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 S JAVINE CT
Mailing Address - Street 2:
Mailing Address - City:SKIATOOK
Mailing Address - State:OK
Mailing Address - Zip Code:74070-3527
Mailing Address - Country:US
Mailing Address - Phone:877-374-9890
Mailing Address - Fax:
Practice Address - Street 1:2111 S JAVINE CT
Practice Address - Street 2:
Practice Address - City:SKIATOOK
Practice Address - State:OK
Practice Address - Zip Code:74070-3527
Practice Address - Country:US
Practice Address - Phone:877-374-9890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education