Individual
CHERYL HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1239 N SELVA DR, DALLAS, TX 75218-3262
(469) 644-6692
Mailing address
1239 N SELVA DR, DALLAS, TX 75218-3262
(469) 644-6692
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
779437
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
779437
TX BOARD OF NURSING
TX
Enumeration date
03/23/2022
Last updated
03/23/2022
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