Individual
CHERYL MANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
8405 W ALAMEDA AVE, LAKEWOOD, CO 80226-2908
(720) 974-5400
(720) 974-4992
Mailing address
8950 E LOWRY BLVD, INNOVAGE-ATTN: GAYLE WASHINGTON, DENVER, CO 80230
(303) 912-7193
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
546701
TX
363LF0000X
Family Nurse Practitioner
Primary
APN.0990577-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4298590001
DME ID
TX
01
—
MA086N266
MEDICARE ID
TX
01
—
P36594
UPIN
TX
05
—
PENDING
—
CO
Enumeration date
09/28/2010
Last updated
10/24/2017
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