Provider Demographics
NPI:1528095767
Name:BLUDAU-BRANCH, CHERISE K (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:CHERISE
Middle Name:K
Last Name:BLUDAU-BRANCH
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5743
Mailing Address - Country:US
Mailing Address - Phone:361-574-1782
Mailing Address - Fax:361-574-1783
Practice Address - Street 1:2710 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 304
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5743
Practice Address - Country:US
Practice Address - Phone:361-574-1782
Practice Address - Fax:361-574-1783
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX572524363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily