Individual
MRS. CHERYL B BLACKETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
7351 S 72ND AVE, LA VISTA, NE 68128-2622
(531) 299-2961
(531) 299-2969
Mailing address
7351 S 72ND AVE, LA VISTA, NE 68128-2622
(531) 299-2961
(531) 299-2969
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
44786
NE
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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