Provider Demographics
NPI:1033393897
Name:BONECUTTER, CHERYL JOY (RNC WHNP)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:JOY
Last Name:BONECUTTER
Suffix:
Gender:F
Credentials:RNC WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6806 BRAVE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-2301
Mailing Address - Country:US
Mailing Address - Phone:210-369-9366
Mailing Address - Fax:
Practice Address - Street 1:6806 BRAVE WAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78256-2301
Practice Address - Country:US
Practice Address - Phone:210-369-9366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX721949363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health