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NPI Code Detail

MEDICARE: CHERYL POIRIER

MEDICARE: CHERYL POIRIER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1720165145
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL POIRIER
Provider Business Mailing Address
First Line : 700 TIFFANY DR
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-3281
Country : US
Telephone Number : 805-348-9542
Fax Number :
Provider Business Practice Location Address
First Line : 500 W FOSTER RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-3620
Country : US
Telephone Number : 805-934-6385
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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