Provider Demographics
NPI:1861273203
Name:CHERIAN, ALINA ANNA (APRN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:ANNA
Last Name:CHERIAN
Suffix:
Gender:F
Credentials:APRN, CPNP-PC
Other - Prefix:
Other - First Name:ALINA
Other - Middle Name:ANNA
Other - Last Name:VARGHESE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN, CPNP-PC
Mailing Address - Street 1:3117 SONDRA DR APT 203
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-7702
Mailing Address - Country:US
Mailing Address - Phone:586-215-5744
Mailing Address - Fax:
Practice Address - Street 1:502 S OLD ORCHARD LN STE 126
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-4374
Practice Address - Country:US
Practice Address - Phone:972-436-7962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-11
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1016294363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics