Provider Demographics
NPI:1780077552
Name:RASH, CHERIE JAN (ARNP)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:JAN
Last Name:RASH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1207 EVERGREEN CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:WA
Mailing Address - Zip Code:99403-2843
Mailing Address - Country:US
Mailing Address - Phone:208-750-5643
Mailing Address - Fax:
Practice Address - Street 1:1207 EVERGREEN CT
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:WA
Practice Address - Zip Code:99403-2843
Practice Address - Country:US
Practice Address - Phone:509-751-0600
Practice Address - Fax:509-751-8863
Is Sole Proprietor?:No
Enumeration Date:2015-03-18
Last Update Date:2018-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDNP-1546A363LF0000X
WAAP60546657363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily