Individual
CHERYL MORTIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2200 LEGACY LN APT 130, BELTON, TX 76513-1832
(719) 235-0941
Mailing address
2200 LEGACY LN APT 130, BELTON, TX 76513-1832
(719) 235-0941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
535073
TX
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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