Healthcare Provider Details

I. General information

NPI: 1124425681
Provider Name (Legal Business Name): ALYSSA HART SHERER RN, MSN, CNP, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALYSSA HART WAGNER

II. Dates (important events)

Enumeration Date: 11/28/2014
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 N THOR ST STE B
TURLOCK CA
95380-4063
US

IV. Provider business mailing address

323 N THOR ST STE B
TURLOCK CA
95380-4063
US

V. Phone/Fax

Practice location:
  • Phone: 209-232-5844
  • Fax:
Mailing address:
  • Phone: 209-232-5844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95019221
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number16846
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: