Healthcare Provider Details

I. General information

NPI: 1922404375
Provider Name (Legal Business Name): CHERRIE AQUINO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHERRIE ANN TOMELDEN FNP-C

II. Dates (important events)

Enumeration Date: 11/12/2014
Last Update Date: 07/13/2021
Certification Date: 07/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14254 SPID DR STE 207
CORPUS CHRISTI TX
78418-6278
US

IV. Provider business mailing address

7021 SPANISH WOOD DR
CORPUS CHRISTI TX
78414-6261
US

V. Phone/Fax

Practice location:
  • Phone: 361-589-4068
  • Fax: 361-589-4079
Mailing address:
  • Phone: 361-249-7733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP126906
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number691914
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: