Healthcare Provider Details

I. General information

NPI: 1790786044
Provider Name (Legal Business Name): CHERYL L. HURTADO ACNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHERYL WINDSTIEN ACNS-BC

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 01/27/2022
Certification Date: 01/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 W. 38TH STREET, SUITE 110
AUSTIN TX
78705
US

IV. Provider business mailing address

900 W. 38TH STREET, SUITE 110
AUSTIN TX
78705
US

V. Phone/Fax

Practice location:
  • Phone: 512-421-3869
  • Fax: 512-407-1873
Mailing address:
  • Phone: 512-421-3869
  • Fax: 512-407-1873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number630423
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number630423
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: