Individual
MRS. CHERYL L CURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A. -C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA18172
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000135
GNP GROUP NUMBER
CA
01
—
019023
GNP
CA
01
—
1750339479
NPI GROUP NUMBER
CA
01
—
330204983
TAX ID
CA
01
—
330204983 0039
CIGNA GROUP NUMBER
CA
01
—
330204983 0048
CIGNA GROUP NUMBER
CA
05
—
GR002729
—
CA
01
—
PA17172
CA LICENSE
CA
01
—
YYY49979Y
BLUE SHIELD
CA
Enumeration date
12/05/2006
Last updated
06/05/2022
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