Healthcare Provider Details

I. General information

NPI: 1952966889
Provider Name (Legal Business Name): CHEROTICH H CHUMA RN, PMHNP-BC, ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS HELLEN CHEROTICH CHUMA

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 09/18/2020
Certification Date: 09/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S LANE ST
SEATTLE WA
98144-2810
US

IV. Provider business mailing address

1600 S LANE ST
SEATTLE WA
98144-2810
US

V. Phone/Fax

Practice location:
  • Phone: 206-682-2371
  • Fax:
Mailing address:
  • Phone: 206-682-2371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61088895
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60556245
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: