IndividualActive
Cheryl Blacketer, REGISTERED NURSE
NPI 1710822200 · Registered Nurse · La Vista, NE
Provider details
- NPI number
- 1710822200
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- 44786 (NE)
Specialties & taxonomies
Nursing Service Providers
Practice location
7351 S 72nd Ave
La Vista, NE 68128-2622
Phone: (531) 299-2961
Fax: (531) 299-2969
Approximate (ZIP-level) locationGet directions
Mailing address
7351 S 72nd Ave
La Vista, NE 68128-2622
Registry dates
- Enumerated
- 2026-04-21
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.