Individual
MRS. NIKITHA ALICE CHERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, A-GNP-C
Contact information
Practice address
1400 S MAIN ST STE 403, FORT WORTH, TX 76104-4913
(817) 702-1100
Mailing address
PO BOX 732973, DALLAS, TX 75373-7329
(817) 702-1307
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP143508
TX
Other
Enumeration date
10/14/2019
Last updated
03/10/2023
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