Provider Demographics
NPI:1164454633
Name:STRUVE, CHERYL A (CNM)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:STRUVE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 RALEY BLVD, STE. 220
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928
Mailing Address - Country:US
Mailing Address - Phone:530-345-4471
Mailing Address - Fax:530-345-4496
Practice Address - Street 1:111 RALEY BLVD
Practice Address - Street 2:STE 220
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928
Practice Address - Country:US
Practice Address - Phone:530-345-4471
Practice Address - Fax:530-345-4496
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN365789363LX0001X
CANMW752367A00000X
CA752367A00000X
CA365789163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGNMW00010Medicaid