MEDICARE: MRS. SARAH SHERRY MORRISON ARNP

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	363L00000X	Nurse Practitioner	3161672	FL

General Provider Information

NPI Number	:	1821190257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH SHERRY MORRISON ARNP

Provider Business Mailing Address
First Line	:	4821 CORAL ROAD
Second Line	:
City	:	FT MYERS BEACH
State	:	FL
Zip	:	33931-3914
Country	:	US
Telephone Number	:	239-765-5975
Fax Number	:	239-931-6103

Provider Business Practice Location Address
First Line	:	3033 WINKLER EXT
Second Line	:	DEPT OF VETERANS AFFAIRS - FT MYERS OUTPATIENT CLINIC
City	:	FT MYERS
State	:	FL
Zip	:	33916-9413
Country	:	US
Telephone Number	:	239-939-3939
Fax Number	:	239-931-6103

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

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	07/08/2007

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