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Individual

CHERYL ANN MILLENDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNPC

Contact information

Practice address
6900 SCENIC DR, SUITE 101, ROWLETT, TX 75088-2695
(972) 475-7555
(972) 412-0935
Mailing address
PO BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8450

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP111500
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
539394
RN LIC NO
TX
Enumeration date
06/25/2007
Last updated
12/01/2020
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