Doctor Name: | SHERRI L. FENWICK |
NPI Number: | 1245412386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 132140 |
Business Practice Address: | 300 Galaxie Ave Harrisonville, MO - 647012084 |
Business Phone Number: | 8163805167 |
Business Fax Number: | 8163805841 |
Mailing Address: | 1800 Community, CLINTON |
State: | MO |
Postal Code: | 647358804 |
Phone Number: | 6608858131 |
Fax Number: | 6608852393 |
NPI Enumeration Date: | 11/30/2007 |
NPI Last Update Date: | 11/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 132140 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |