Individual
CHERYL J WELTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2755 MILLER AVE, FORT WORTH, TX 76105-4164
(817) 534-7110
(817) 413-0521
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
231159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750369203
GRP NPI NUMBER
—
Enumeration date
10/10/2006
Last updated
04/20/2010
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