Provider Demographics
NPI:1740304047
Name:SOLOMON, CHERYL ANN (RN, BSN, MED)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:ANN
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:RN, BSN, MED
Other - Prefix:PROF
Other - First Name:CHERYL
Other - Middle Name:M
Other - Last Name:SOLOMON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN, BSN, MED
Mailing Address - Street 1:5130 MADDEN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77048-2722
Mailing Address - Country:US
Mailing Address - Phone:713-738-6019
Mailing Address - Fax:
Practice Address - Street 1:5130 MADDEN LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77048-2722
Practice Address - Country:US
Practice Address - Phone:713-738-6019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX222206163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management