Provider Demographics
NPI:1316298136
Name:IRONMAKER, CHERYL D (RN)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:D
Last Name:IRONMAKER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:D
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2610 WATSON RD
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-7454
Mailing Address - Country:US
Mailing Address - Phone:406-839-6552
Mailing Address - Fax:
Practice Address - Street 1:2610 WATSON RD
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-7454
Practice Address - Country:US
Practice Address - Phone:406-839-6552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT26929163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse