Healthcare Provider Details

I. General information

NPI: 1629091533
Provider Name (Legal Business Name): SHERRY A FREEMAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERRY A. FREEMAN ARNP

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 11/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 BISCAYNE BLVD
MIAMI FL
33137-4531
US

IV. Provider business mailing address

521 NORTHWEST 79TH AVENUE
PLANTATION FL
33324
US

V. Phone/Fax

Practice location:
  • Phone: 786-953-6918
  • Fax: 786-953-6078
Mailing address:
  • Phone: 954-661-3460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberARNP 417552
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: