Individual
MS. ANDREA E. CHENEWETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6250 JOHN RYAN DR, FORT WORTH, TX 76132-4115
(817) 346-9800
(817) 346-9881
Mailing address
6250 JOHN RYAN DR, FORT WORTH, TX 76132-4115
(817) 346-9800
(817) 346-9881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
635486
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
635486
STATE LICENSE
TX
Enumeration date
07/29/2006
Last updated
07/08/2007
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