Provider Demographics
NPI:1942788120
Name:CHEUNG, GLORIA A (RN, BSN, MSN)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:A
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:RN, BSN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 WALNUT ST APT 443
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-3424
Mailing Address - Country:US
Mailing Address - Phone:909-342-3700
Mailing Address - Fax:
Practice Address - Street 1:3131 WALNUT ST APT 443
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3424
Practice Address - Country:US
Practice Address - Phone:909-342-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN748996163W00000X
CA95109100163W00000X
PASP025467363LP0808X
CANP95012645363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse