Individual
CHERYL MARTIN DEMUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
25 MCCABE DR, RENO, NV 89511-5991
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1138899
CA
363LF0000X
Family Nurse Practitioner
Primary
841385
NV
363LF0000X
Family Nurse Practitioner
NP95005301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14469608
CAQH NUMBER
NV
01
—
841385
APRN LIC
NV
Enumeration date
10/19/2016
Last updated
03/07/2023
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