Organization
CHERISE FNP-BC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERISE BLUDAU-BRANCH FNP-BC (SOLE MBR)
(361) 920-3145
Entity
Organization
Contact information
Practice address
191 HURON ST, VICTORIA, TX 77905-3785
(361) 920-3145
(361) 992-1667
Mailing address
PO BOX 6696, CORPUS CHRISTI, TX 78466-6696
(361) 985-1221
(361) 992-1667
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
572524
TX
Other
Enumeration date
03/25/2010
Last updated
12/19/2011
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