Provider Demographics
NPI:1295081776
Name:SOPRANO, CHERIE ANN (PHD RN, PMHNP-BC)
Entity type:Individual
Prefix:PROF
First Name:CHERIE
Middle Name:ANN
Last Name:SOPRANO
Suffix:
Gender:F
Credentials:PHD RN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 JOVITA CT
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-5230
Mailing Address - Country:US
Mailing Address - Phone:570-881-3425
Mailing Address - Fax:
Practice Address - Street 1:2332 N LAS VEGAS BLVD
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89030-5856
Practice Address - Country:US
Practice Address - Phone:570-383-9934
Practice Address - Fax:570-230-0013
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007052363LP0808X
NVAPRN001827363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health