Individual
CHONG H CHEEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
212 E CENTRAL AVE STE 315, SPOKANE, WA 99208
(509) 465-3919
(509) 468-0705
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 465-3919
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
60082815
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8908378
EMPLOYER MEDICARE
WA
01
—
GAUP1000
EMPLOYER MEDICARE
WA
Enumeration date
11/24/2009
Last updated
05/03/2021
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