MEDICARE: ANGELA WRIGHT SHERFIELD CRT

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
1	2278P1005X	Pulmonary Rehabilitation Certified Respiratory Therapist	RC1179	NV

General Provider Information

NPI Number	:	1558537142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA WRIGHT SHERFIELD CRT

Provider Business Mailing Address
First Line	:	2451 S BUFFALO DR STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2749
Country	:	US
Telephone Number	:	702-893-9999
Fax Number	:

Provider Business Practice Location Address
First Line	:	2451 S BUFFALO DR STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2749
Country	:	US
Telephone Number	:	702-893-9999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2008
Last Update Date	:	05/02/2008

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