Provider Demographics
NPI:1528446903
Name:JAMES, CHERYL MARIE (CNA)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:MARIE
Last Name:JAMES
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:MRS
Other - First Name:CHERYL
Other - Middle Name:MARIE
Other - Last Name:THOMAS-JAMES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6325 SW 18TH ST.
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023
Mailing Address - Country:US
Mailing Address - Phone:305-319-1765
Mailing Address - Fax:
Practice Address - Street 1:6325 SW 18TH ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-2106
Practice Address - Country:US
Practice Address - Phone:305-319-1764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X, 374U00000X
FLCNA#27470376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide