Provider Demographics
NPI:1952966889
Name:CHUMA, CHEROTICH H (RN, PMHNP-BC, ARNP)
Entity Type:Individual
Prefix:DR
First Name:CHEROTICH
Middle Name:H
Last Name:CHUMA
Suffix:
Gender:F
Credentials:RN, PMHNP-BC, ARNP
Other - Prefix:MISS
Other - First Name:HELLEN
Other - Middle Name:CHEROTICH
Other - Last Name:CHUMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1600 S LANE ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-2810
Mailing Address - Country:US
Mailing Address - Phone:206-682-2371
Mailing Address - Fax:
Practice Address - Street 1:1600 S LANE ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-2810
Practice Address - Country:US
Practice Address - Phone:206-682-2371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60556245163W00000X
WAAP61088895363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WARN60556245OtherNATIONAL COUNCIL OF STATE BOARDS OF NURSING