Provider Demographics
NPI:1548663164
Name:GOLDFARB-GREENWOOD, CHERYL (RN, MN, CNS)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:GOLDFARB-GREENWOOD
Suffix:
Gender:F
Credentials:RN, MN, CNS
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:GOLDFARB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MN, CNS
Mailing Address - Street 1:750 WELCH RD STE 212
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1509
Mailing Address - Country:US
Mailing Address - Phone:650-723-7501
Mailing Address - Fax:650-724-6500
Practice Address - Street 1:750 WELCH RD STE 212
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1509
Practice Address - Country:US
Practice Address - Phone:650-723-7501
Practice Address - Fax:650-724-6500
Is Sole Proprietor?:No
Enumeration Date:2014-09-28
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA428701163W00000X
CA256364S00000X, 364SN0000X, 364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No163W00000XNursing Service ProvidersRegistered Nurse
No364SN0000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistNeonatal
No364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics