Provider Demographics
NPI:1447608872
Name:WONG, HEI NAM CHERYL (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:HEI NAM
Middle Name:CHERYL
Last Name:WONG
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 ARBOL
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75039-3210
Mailing Address - Country:US
Mailing Address - Phone:469-682-0361
Mailing Address - Fax:
Practice Address - Street 1:604 ARBOL
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-3210
Practice Address - Country:US
Practice Address - Phone:469-682-0361
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX765488163WC0200X
TXAP130808363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine