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Individual

CHERILYN WILCOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
12201 RENFERT WAY STE 225, AUSTIN, TX 78758-5369
(512) 339-6626
(512) 425-3809
Mailing address
12201 RENFERT WAY STE 225, AUSTIN, TX 78758-5369
(512) 339-6626
(512) 425-3809

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP114257
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
345229401
TX
Enumeration date
12/30/2009
Last updated
10/14/2016
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