Healthcare Provider Details

I. General information

NPI: 1326921263
Provider Name (Legal Business Name): SHERRI HEAD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4575 BYRD DR
LOVELAND CO
80538-7198
US

IV. Provider business mailing address

5720 OSAGE AVE APT 305
CHEYENNE WY
82009-3971
US

V. Phone/Fax

Practice location:
  • Phone: 970-593-3300
  • Fax: 970-962-4901
Mailing address:
  • Phone: 970-417-8811
  • Fax: 970-962-4901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN.0048451
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: