Blevins, Cherry Lynn

Blevins, Cherry Lynn is an sole proprietor health care provider with primary practice located at 1003 Nw Becontree Pl , Lawton OK 73505-4126. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Blevins, Cherry Lynn can be contacted via phone (580) 591-1910.

Contact Information

Primary practice address
1003 Nw Becontree Pl Lawton OK 73505-4126
Phone: (580) 591-1910
Fax: (580) 536-5773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0031710 Oklahoma

Profile Details

NPI number 1952393621
LBN Legal business name Blevins, Cherry Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2005
Last updated Jul 8th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952393621 NPPES
Oklahoma MEDICAID 100785600A
Oklahoma MEDICAID 100785600B

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