Individual
MRS. VALERIE JEAN CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A/GNP
Contact information
Practice address
24275 KATY FWY STE 400, KATY, TX 77494-7267
(346) 387-7171
(844) 703-5305
Mailing address
24275 KATY FWY STE 400, KATY, TX 77494-7267
(346) 387-7171
(844) 703-5305
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
563679
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038004001
—
TX
05
—
038004002
—
TX
01
—
500000774
RAILROAD GBA - RAILROAD MEDICARE
TX
01
—
80N446
BCBS
TX
01
—
P01090515
RAILROAD MEDICARE PTAN
TX
Enumeration date
04/25/2006
Last updated
01/31/2018
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