MEDICARE: CHERYL NEGRIN NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	08618	CA
2	363LF0000X	Family Nurse Practitioner	NP8618	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558577692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL NEGRIN NP

Provider Business Mailing Address
First Line	:	1469 HUMBOLDT RD
Second Line	:	SUITE 200
City	:	CHICO
State	:	CA
Zip	:	95928-9116
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	335 S MCDOWELL BLVD
Second Line	:
City	:	PETALUMA
State	:	CA
Zip	:	94954-3507
Country	:	US
Telephone Number	:	707-293-1110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2007
Last Update Date	:	07/29/2025

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