Individual
IMELDA C CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3322 BROADWAY, SUITE 200, EVERETT, WA 98201-4425
(425) 249-4822
(425) 339-8283
Mailing address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4317
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
AP30007978
WA
363LF0000X
Family Nurse Practitioner
Primary
RN00167426
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP30007978
NP LICENSE
WA
Enumeration date
11/01/2007
Last updated
02/16/2011
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