Healthcare Provider Details

I. General information

NPI: 1730187733
Provider Name (Legal Business Name): SHERRI ANN HAYES CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHERRI ANN CLETCHER CRNA

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 02/14/2024
Certification Date: 02/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6600 MADISON ST C/O MORTON PLANT MEASE OUTPATIENT ANESTHESIA
NEW PORT RICHEY FL
34652-1971
US

IV. Provider business mailing address

2995 DREW ST
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 727-843-4505
  • Fax: 727-859-4738
Mailing address:
  • Phone: 727-315-7496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9198498
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: