Healthcare Provider Details

I. General information

NPI: 1497293914
Provider Name (Legal Business Name): SHERYL VALERA LOUIS MSN, APRN, CPNP-AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2017
Last Update Date: 11/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7777 FOREST LN
DALLAS TX
75230-2571
US

IV. Provider business mailing address

7777 FOREST LN
DALLAS TX
75230
US

V. Phone/Fax

Practice location:
  • Phone: 972-566-6585
  • Fax: 469-484-2348
Mailing address:
  • Phone: 972-566-6585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberAP133197
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: