Provider Demographics
NPI:1417372418
Name:BREAUX, CHERYL (APRN-FNP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:BREAUX
Suffix:
Gender:F
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:350 N TEXAS AVE
Mailing Address - Street 2:SUITE A-2
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4959
Mailing Address - Country:US
Mailing Address - Phone:281-616-6017
Mailing Address - Fax:281-947-3037
Practice Address - Street 1:1005 HARBORSIDE DR
Practice Address - Street 2:FL 5
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0001
Practice Address - Country:US
Practice Address - Phone:409-772-6781
Practice Address - Fax:409-772-4456
Is Sole Proprietor?:No
Enumeration Date:2014-02-27
Last Update Date:2024-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX617300363LF0000X
TXAP125135363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily