Provider Demographics
NPI:1295951804
Name:CHEEK, CATHERINE E (NP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:E
Last Name:CHEEK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 HALIFAX ST
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23803-6335
Mailing Address - Country:US
Mailing Address - Phone:804-863-1652
Mailing Address - Fax:804-862-6126
Practice Address - Street 1:301 HALIFAX ST
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-6335
Practice Address - Country:US
Practice Address - Phone:804-863-1652
Practice Address - Fax:804-862-6126
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024065054363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00X494N12Medicare PIN
VA00X494N09Medicare PIN
VA015313R79Medicare PIN