Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | AP133201 | TX |
NPI | 1033657523 |
---|---|
Provider Name | Mrs. Cherri M Ward |
First Address | Waco, TX 76712-8952 |
Second Address | Waco, TX 76712-8952 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2017 |
Last Update Date | 06/02/2017 |