Provider Demographics
NPI:1336951995
Name:MCMANUS, CHERISE DRUSILLA (RN IBCLC)
Entity type:Individual
Prefix:
First Name:CHERISE
Middle Name:DRUSILLA
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:RN IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 MOLESWORTH DR
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6330
Mailing Address - Country:US
Mailing Address - Phone:919-519-4772
Mailing Address - Fax:
Practice Address - Street 1:702 MOLESWORTH DR
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-6330
Practice Address - Country:US
Practice Address - Phone:919-519-4772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL-305373163WL0100X
NC374J00000X
NC318370163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No374J00000XNursing Service Related ProvidersDoula