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 |