| Doctor Name: | MAROLYN ANN SHERIFF |
| NPI Number: | 1699791236 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP |
| License Number: | 1180 |
| Business Practice Address: | 1 Havenwood Ln Travelers Rest, SC - 296909447 |
| Business Phone Number: | 8648348013 |
| Business Fax Number: | |
| Mailing Address: | Po Box 222, BELTON |
| State: | SC |
| Postal Code: | 296270222 |
| Phone Number: | 8642969548 |
| Fax Number: | |
| NPI Enumeration Date: | 07/15/2006 |
| NPI Last Update Date: | 08/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 1180 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |