Healthcare Provider Details

I. General information

NPI: 1346424629
Provider Name (Legal Business Name): SHERRI PAULSEN RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2007
Last Update Date: 12/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 BROKEN SOUND PKWY SUITE #500
BOCA RATON FL
33487-2773
US

IV. Provider business mailing address

515 CLEVELAND ST
FALLON NV
89406-4001
US

V. Phone/Fax

Practice location:
  • Phone: 800-875-8999
  • Fax:
Mailing address:
  • Phone: 623-363-0333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2278C0205X
TaxonomyCritical Care Certified Respiratory Therapist
License NumberRC1020
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: