Provider Demographics
NPI:1902698376
Name:CHERY, MICHELEE SANDIANA
Entity type:Individual
Prefix:
First Name:MICHELEE
Middle Name:SANDIANA
Last Name:CHERY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 YOUNG TER
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-5034
Mailing Address - Country:US
Mailing Address - Phone:781-308-3079
Mailing Address - Fax:
Practice Address - Street 1:5 YOUNG TER
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-5034
Practice Address - Country:US
Practice Address - Phone:781-308-3079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula