Provider Demographics
NPI:1912068164
Name:CHEAH, FOONG-CHEE JOANN (CRNP)
Entity type:Individual
Prefix:MS
First Name:FOONG-CHEE
Middle Name:JOANN
Last Name:CHEAH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 PRINCE FREDERICK BLVD
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-3137
Mailing Address - Country:US
Mailing Address - Phone:410-535-8911
Mailing Address - Fax:410-452-3087
Practice Address - Street 1:821 PRINCE FREDERICK BLVD
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-3137
Practice Address - Country:US
Practice Address - Phone:410-535-8911
Practice Address - Fax:410-452-3087
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45290363LF0000X
TX684798363LF0000X
VA0024181660363LF0000X
MDR193373363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC084788800Medicaid
MD686197OtherMEDICARE
MD226105700Medicaid
TX188626901Medicaid