Provider Demographics
NPI:1912546920
Name:CHEEMA, AMANPREET KAUR (ARNP)
Entity Type:Individual
Prefix:
First Name:AMANPREET
Middle Name:KAUR
Last Name:CHEEMA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 NW DOGWOOD ST STE B
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-3258
Mailing Address - Country:US
Mailing Address - Phone:425-269-3277
Mailing Address - Fax:833-986-0107
Practice Address - Street 1:75 NW DOGWOOD ST STE B
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-3258
Practice Address - Country:US
Practice Address - Phone:425-269-3277
Practice Address - Fax:833-986-0107
Is Sole Proprietor?:No
Enumeration Date:2019-12-23
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61011333163W00000X
WAAP61372253363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse