Provider Demographics
NPI:1053710830
Name:CHEEK, KRISTI (RN)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:CHEEK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 JEFFERSON ST
Mailing Address - Street 2:APT C
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1475
Mailing Address - Country:US
Mailing Address - Phone:317-446-4529
Mailing Address - Fax:
Practice Address - Street 1:2607 JEFFERSON ST
Practice Address - Street 2:APT C
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1475
Practice Address - Country:US
Practice Address - Phone:317-446-4529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95025125163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse