MEDICARE: MS. FOONG-CHEE JOANN CHEAH CRNP

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	363LF0000X	Family Nurse Practitioner	45290	KS
2	363LF0000X	Family Nurse Practitioner	684798	TX
3	363LF0000X	Family Nurse Practitioner	0024181660	VA
4	363LF0000X	Family Nurse Practitioner	R193373	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	686197	OTHER	MD	MEDICARE

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
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	:	1912068164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FOONG-CHEE JOANN CHEAH CRNP

Provider Business Mailing Address
First Line	:	821 PRINCE FREDERICK BLVD
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-3137
Country	:	US
Telephone Number	:	410-535-8911
Fax Number	:	410-452-3087

Provider Business Practice Location Address
First Line	:	821 PRINCE FREDERICK BLVD
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-3137
Country	:	US
Telephone Number	:	410-535-8911
Fax Number	:	410-452-3087

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	12/11/2024

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