Provider Demographics
NPI:1528146198
Name:THOMAS, CHERYL LYNN (OB GYN, CNP, CNM)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:LYNN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:OB GYN, CNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 E D ST
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-9545
Mailing Address - Country:US
Mailing Address - Phone:559-924-7711
Mailing Address - Fax:559-924-1658
Practice Address - Street 1:810 E D ST
Practice Address - Street 2:
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93245-9545
Practice Address - Country:US
Practice Address - Phone:559-924-7174
Practice Address - Fax:559-924-1658
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANPF7288363LP1700X, 363LX0001X
CANMW1369367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LP1700XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPerinatal
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANMW1369OtherCERTIFIED NURSE MIDWIFE
CA489845OtherLICENSE
CANPF7288OtherNURSE PRACTIONER LICENSE
CANPF7288OtherNURSE PRACTIONER LICENSE