| Doctor Name: | MRS. SHERRIE DENISE KNEEBONE |
| NPI Number: | 1003906587 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | 592295 |
| Business Practice Address: | 2000 Mowry Ave Fremont, CA - 945381716 |
| Business Phone Number: | 5107952004 |
| Business Fax Number: | 5107429285 |
| Mailing Address: | 2500 Mowry Ave, Suite 100 FREMONT |
| State: | CA |
| Postal Code: | 945381605 |
| Phone Number: | 5107952004 |
| Fax Number: | 5107429285 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 04/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 592295 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |