Doctor Name: | SHERRY S HERDMAN |
NPI Number: | 1720185275 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S, FNP, CDE |
License Number: | F331046-1 |
Business Practice Address: | 28 Church St. Alfred, NY - 14802 |
Business Phone Number: | 6075878143 |
Business Fax Number: | |
Mailing Address: | 4707 Lilly Rd., Po Box 38 ANGELICA |
State: | NY |
Postal Code: | 147090038 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F331046-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |