Provider Demographics
NPI:1477743797
Name:CHERYL VALLIE CFNP LP
Entity type:Organization
Organization Name:CHERYL VALLIE CFNP LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLIE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:432-699-6271
Mailing Address - Street 1:PO BOX 80670
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79708-0670
Mailing Address - Country:US
Mailing Address - Phone:432-682-2154
Mailing Address - Fax:
Practice Address - Street 1:4801 N MIDLAND DR
Practice Address - Street 2:SUITE B
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-3421
Practice Address - Country:US
Practice Address - Phone:432-699-6271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty