Provider Demographics
NPI:1699024612
Name:MUSSMAN, CHERYL ANN (QMHA)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:ANN
Last Name:MUSSMAN
Suffix:
Gender:F
Credentials:QMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7381 PRAIRIE FALCON RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0812
Mailing Address - Country:US
Mailing Address - Phone:702-467-8120
Mailing Address - Fax:702-396-4193
Practice Address - Street 1:7381 PRAIRIE FALCON RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0812
Practice Address - Country:US
Practice Address - Phone:702-467-8120
Practice Address - Fax:702-396-4193
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner