Doctor Name: | MRS. SHANNA ANN SHERMAN |
NPI Number: | 1013253590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP9258728 |
Business Practice Address: | 601 5th St S Suite 605 St Petersburg, FL - 337014804 |
Business Phone Number: | 7278224300 |
Business Fax Number: | 7274561399 |
Mailing Address: | 2901 58th Ave N, ST PETERSBURG |
State: | FL |
Postal Code: | 337141326 |
Phone Number: | 7278224300 |
Fax Number: | 7274561399 |
NPI Enumeration Date: | 01/02/2013 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | ARNP9258728 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |