Healthcare Provider Details

I. General information

NPI: 1447303722
Provider Name (Legal Business Name): BARBARA JEAN CHEYNEY R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 FIR STREET
DARRINGTON WA
98241-0027
US

IV. Provider business mailing address

2521 STONEBRIDGE WAY
MOUNT VERNON WA
98273-3667
US

V. Phone/Fax

Practice location:
  • Phone: 360-436-1313
  • Fax:
Mailing address:
  • Phone: 360-424-6440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN00039141
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: