Doctor Name: | SHERRY LYNN STERN |
NPI Number: | 1104933852 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 001729 |
Business Practice Address: | 538 Broadway Winnie, TX - 776657600 |
Business Phone Number: | 4092969505 |
Business Fax Number: | 4092962506 |
Mailing Address: | 538 Broadway, WINNIE |
State: | TX |
Postal Code: | 776657600 |
Phone Number: | 4092969505 |
Fax Number: | 4092962506 |
NPI Enumeration Date: | 08/25/2006 |
NPI Last Update Date: | 01/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 001729 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |