Healthcare Provider Details

I. General information

NPI: 1548643166
Provider Name (Legal Business Name): CHERYL TRAWEEK PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2015
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 S 2ND ST STE 411
YAKIMA WA
98901-2629
US

IV. Provider business mailing address

9960 N NEWPORT HWY STE 1004
SPOKANE WA
99218-1366
US

V. Phone/Fax

Practice location:
  • Phone: 804-696-5995
  • Fax:
Mailing address:
  • Phone: 804-696-5995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95002597
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP70082255
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95002597
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95002597
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP70082255
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: