NPI 1346690260 · live from the CMS NPI Registry
Cheryl Denise Bordenave, RN
Registered Nurse in Lithonia, GA. National Provider Identifier 1346690260, active.
NPI record
| NPI | 1346690260 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse 163W00000X |
| Practice location | 5321 Winding Glen Dr, Lithonia, GA 30038 |
| Practice phone | 678-533-8633 |
| Enumerated | June 21, 2016 |
| Last updated | June 21, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse primary | 163W00000X | RN257907 (GA) |
| Registered Nurse, General Practice | 163WG0000X | RN257907 (GA) |
| Registered Nurse, Home Health | 163WH0200X | RN257907 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.