Provider Demographics
NPI:1134000904
Name:GARDENHIRE, CHERYL (BSN, RN)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:
Last Name:GARDENHIRE
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 MALL BLVD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4888
Mailing Address - Country:US
Mailing Address - Phone:912-644-5234
Mailing Address - Fax:
Practice Address - Street 1:420 MALL BLVD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4888
Practice Address - Country:US
Practice Address - Phone:912-644-5234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN327376163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health