Provider Demographics
NPI:1679154231
Name:CALHOUN, CHERRIANN (RN)
Entity type:Individual
Prefix:
First Name:CHERRIANN
Middle Name:
Last Name:CALHOUN
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 1:5340 SW 130TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-5410
Mailing Address - Country:US
Mailing Address - Phone:954-397-5924
Mailing Address - Fax:888-363-6117
Practice Address - Street 1:5340 SW 130TH AVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-5410
Practice Address - Country:US
Practice Address - Phone:954-397-5924
Practice Address - Fax:888-363-6117
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9178052251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health