Healthcare Provider Details

I. General information

NPI: 1578428983
Provider Name (Legal Business Name): CHERYL MARIE HENRY LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

571 JAMES MADISON HWY STE D
CULPEPER VA
22701-2367
US

IV. Provider business mailing address

8955 FOX RUN DR
SPOTSYLVANIA VA
22551-5687
US

V. Phone/Fax

Practice location:
  • Phone: 540-547-3769
  • Fax:
Mailing address:
  • Phone: 540-538-5240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number0002050842
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: