Provider Demographics
NPI:1497000152
Name:CASH, THELMA RENEE (RN)
Entity Type:Individual
Prefix:MS
First Name:THELMA
Middle Name:RENEE
Last Name:CASH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5569 COPPER SUNSET WAY
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95742-8139
Mailing Address - Country:US
Mailing Address - Phone:916-317-1513
Mailing Address - Fax:
Practice Address - Street 1:5569 COPPER SUNSET WAY
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95742-8139
Practice Address - Country:US
Practice Address - Phone:916-317-1513
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA594489372500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider