| Doctor Name: | MS. SUSAN ANN SHERMAN |
| NPI Number: | 1003818832 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, ARNP, CPNP |
| License Number: | 3140902 |
| Business Practice Address: | 3900 Broadway Suite B-1 Fort Myers, FL - 339018193 |
| Business Phone Number: | 2399392808 |
| Business Fax Number: | 2399394794 |
| Mailing Address: | 2221 Ne 4th Pl, CAPE CORAL |
| State: | FL |
| Postal Code: | 339094303 |
| Phone Number: | 2397724274 |
| Fax Number: | |
| NPI Enumeration Date: | 08/11/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 3140902 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |