| NPI | 1972868891 |
|---|---|
| Former Name | STEPHANIE L SHERMO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3739) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 2254155) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID NP-1195A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN R2254155) | |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2020-10-05 |