Doctor Name: | MS. TERRI DIANE SHERMAN |
NPI Number: | 1801972880 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN-FNP-C |
License Number: | R46608 |
Business Practice Address: | 301 S 7th St Williams, AZ - 860462324 |
Business Phone Number: | 9286354441 |
Business Fax Number: | 9286354403 |
Mailing Address: | Po Box 3630, FLAGSTAFF |
State: | AZ |
Postal Code: | 860033630 |
Phone Number: | 9282335110 |
Fax Number: | 9287746687 |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R46608 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |