Provider Demographics
NPI:1841608437
Name:POWERS, CHERYL (RN, MSN, CPNP)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:POWERS
Suffix:
Gender:F
Credentials:RN, MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7004 BEE CAVE RD
Mailing Address - Street 2:BLDG. 1 SUITE 210
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5004
Mailing Address - Country:US
Mailing Address - Phone:512-327-0562
Mailing Address - Fax:512-327-8219
Practice Address - Street 1:7004 BEE CAVE RD
Practice Address - Street 2:BLDG. 1 SUITE 210
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5004
Practice Address - Country:US
Practice Address - Phone:512-327-0562
Practice Address - Fax:512-327-8219
Is Sole Proprietor?:No
Enumeration Date:2014-07-26
Last Update Date:2014-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126008363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics