Provider Demographics
NPI:1336511575
Name:CHEGE, LUCY (FNP DNP)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:
Last Name:CHEGE
Suffix:
Gender:F
Credentials:FNP DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:WA
Mailing Address - Zip Code:98354-9112
Mailing Address - Country:US
Mailing Address - Phone:770-757-0161
Mailing Address - Fax:
Practice Address - Street 1:15 SW EVERETT MALL WAY STE A
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-2715
Practice Address - Country:US
Practice Address - Phone:555-562-5442
Practice Address - Fax:562-499-6171
Is Sole Proprietor?:No
Enumeration Date:2015-10-27
Last Update Date:2018-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN219260163W00000X
GA219260363LF0000X
WA6091135363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse