Provider Demographics
NPI:1922404375
Name:AQUINO, CHERRIE
Entity Type:Individual
Prefix:
First Name:CHERRIE
Middle Name:
Last Name:AQUINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHERRIE
Other - Middle Name:ANN
Other - Last Name:TOMELDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:7021 SPANISH WOOD DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-6261
Mailing Address - Country:US
Mailing Address - Phone:361-249-7733
Mailing Address - Fax:
Practice Address - Street 1:14254 SPID DR STE 207
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-6278
Practice Address - Country:US
Practice Address - Phone:361-589-4068
Practice Address - Fax:361-589-4079
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-12
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126906363LF0000X
TX691914363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily