Individual
CHERYL A KOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
19296 STONE OAK PKWY, SAN ANTONIO, TX 78258-3222
(210) 871-9767
Mailing address
9222 RIDGE TOWN, SAN ANTONIO, TX 78250-4077
(210) 872-5426
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
676482
TX
363LF0000X
Family Nurse Practitioner
Primary
AP144176
TX
Other
Enumeration date
09/30/2019
Last updated
12/02/2019
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