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NPI Code Detail

MEDICARE: SHERRI KING RN, SA

MEDICARE:   SHERRI  KING  RN, SA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse703152TX

General Provider Information

NPI Number : 1003217118
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRI KING RN, SA
Provider Business Mailing Address
First Line : 5124 BAY VIEW DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-6771
Country : US
Telephone Number : 817-689-8208
Fax Number :
Provider Business Practice Location Address
First Line : 5124 BAY VIEW DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76244-6771
Country : US
Telephone Number : 817-689-8208
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2014
Last Update Date : 09/08/2014

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Directions to “ SHERRI KING RN, SA” Practice Location

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