Provider Demographics
NPI:1407273527
Name:JOSEPH, SINI CHERIAN (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SINI
Middle Name:CHERIAN
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 HOLLY HILL DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-6849
Mailing Address - Country:US
Mailing Address - Phone:469-360-1566
Mailing Address - Fax:
Practice Address - Street 1:1217 HOLLY HILL DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-6849
Practice Address - Country:US
Practice Address - Phone:469-360-1566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX664766363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily