Provider Demographics
NPI:1205727682
Name:ESCUE, CHERYL ELAINE (SPECIALIST)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:ELAINE
Last Name:ESCUE
Suffix:
Gender:F
Credentials:SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15336 LIBRA AVE
Mailing Address - Street 2:
Mailing Address - City:PRIDE
Mailing Address - State:LA
Mailing Address - Zip Code:70770-9600
Mailing Address - Country:US
Mailing Address - Phone:225-330-9166
Mailing Address - Fax:
Practice Address - Street 1:15336 LIBRA AVE
Practice Address - Street 2:
Practice Address - City:PRIDE
Practice Address - State:LA
Practice Address - Zip Code:70770-9600
Practice Address - Country:US
Practice Address - Phone:225-330-9166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier