Provider Demographics
NPI:1790919389
Name:CHEUNG, AMY S (N P)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:S
Last Name:CHEUNG
Suffix:
Gender:
Credentials:N P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 J ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-3600
Mailing Address - Country:US
Mailing Address - Phone:916-453-4768
Mailing Address - Fax:916-733-6977
Practice Address - Street 1:4001 J ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3600
Practice Address - Country:US
Practice Address - Phone:916-453-4768
Practice Address - Fax:916-733-6977
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18220363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner