Provider Demographics
NPI:1316298011
Name:SEALEY-NOTT, CHERE NYASHA (NP)
Entity type:Individual
Prefix:MS
First Name:CHERE
Middle Name:NYASHA
Last Name:SEALEY-NOTT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CHERE
Other - Middle Name:NYASHA
Other - Last Name:SEALEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3052 WILLOW PASS RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94519-2552
Mailing Address - Country:US
Mailing Address - Phone:925-681-4100
Mailing Address - Fax:
Practice Address - Street 1:3052 WILLOW PASS RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94519-2552
Practice Address - Country:US
Practice Address - Phone:925-681-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA774786163W00000X
CA21847363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse