Provider Demographics
NPI:1508136797
Name:GUERIN, CHERISE LEANN
Entity type:Individual
Prefix:MS
First Name:CHERISE
Middle Name:LEANN
Last Name:GUERIN
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 1:3614 RALSTON AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46218-1057
Mailing Address - Country:US
Mailing Address - Phone:463-261-4825
Mailing Address - Fax:
Practice Address - Street 1:3614 RALSTON AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-1057
Practice Address - Country:US
Practice Address - Phone:463-261-4825
Practice Address - Fax:463-241-3065
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN3747P1801X
INCNA0029645251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No251E00000XAgenciesHome Health