Provider Demographics
NPI:1659114569
Name:CHHENG, NEARA (RN, BSN, CCM)
Entity type:Individual
Prefix:
First Name:NEARA
Middle Name:
Last Name:CHHENG
Suffix:
Gender:F
Credentials:RN, BSN, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2461 CRESTMORE CIR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95206-6091
Mailing Address - Country:US
Mailing Address - Phone:559-824-0453
Mailing Address - Fax:
Practice Address - Street 1:2461 CRESTMORE CIR
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95206-6091
Practice Address - Country:US
Practice Address - Phone:559-824-0453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA688463163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management