Provider Demographics
NPI:1821987900
Name:SIMMONS, CHERYL LYNN (DOULA)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYNN
Last Name:SIMMONS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18506 N ATLANTIC RD
Mailing Address - Street 2:
Mailing Address - City:COLBERT
Mailing Address - State:WA
Mailing Address - Zip Code:99005-9276
Mailing Address - Country:US
Mailing Address - Phone:509-992-6009
Mailing Address - Fax:
Practice Address - Street 1:18506 N ATLANTIC RD
Practice Address - Street 2:
Practice Address - City:COLBERT
Practice Address - State:WA
Practice Address - Zip Code:99005-9276
Practice Address - Country:US
Practice Address - Phone:509-992-6009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WABD70021519374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula