Provider Demographics
NPI:1255138277
Name:CHERIAN, RINI (PMHNP)
Entity type:Individual
Prefix:
First Name:RINI
Middle Name:
Last Name:CHERIAN
Suffix:
Gender:
Credentials:PMHNP
Other - Prefix:
Other - First Name:RINI
Other - Middle Name:PANAMTHALACKAL
Other - Last Name:RAJU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10252 E ENCINAS TRL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-0004
Mailing Address - Country:US
Mailing Address - Phone:972-740-6345
Mailing Address - Fax:
Practice Address - Street 1:6891 N ORACLE RD STE 101
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4272
Practice Address - Country:US
Practice Address - Phone:520-666-4004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ320543363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health