Individual
SHIRLENE CHEATOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 MEMORIAL PKWY SW, HUNTSVILLE, AL 35802-4364
(256) 533-1970
Mailing address
1131 EAGLETREE LN SW, HUNTSVILLE, AL 35801-6491
(256) 533-1970
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-114563
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
05/29/2025
Last updated
05/29/2025
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