Provider Demographics
NPI:1912068164
Name:CHEAH, FOONG-CHEE JOANN (CRNP)
Entity Type:Individual
Prefix:MS
First Name:FOONG-CHEE
Middle Name:JOANN
Last Name:CHEAH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15521 REAL ESTATE AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-5328
Mailing Address - Country:US
Mailing Address - Phone:540-993-1084
Mailing Address - Fax:888-801-8599
Practice Address - Street 1:15521 REAL ESTATE AVE STE 206
Practice Address - Street 2:
Practice Address - City:KING GEORGE
Practice Address - State:VA
Practice Address - Zip Code:22485-5328
Practice Address - Country:US
Practice Address - Phone:540-993-1084
Practice Address - Fax:888-801-8599
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR193373363LF0000X
KS45290363LF0000X
TX684798363LF0000X
VA0024181660363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC084788800Medicaid
TX188626901Medicaid
MD686197OtherMEDICARE
MD226105700Medicaid