Healthcare Provider Details
I. General information
NPI: 1851765465
Provider Name (Legal Business Name): SHERRY BURKETT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/19/2015
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
973 SE FEDERAL HWY
STUART FL
34994-3701
US
IV. Provider business mailing address
6101 BLUE LAGOON DR STE 400
MIAMI FL
33126-2051
US
V. Phone/Fax
- Phone: 772-283-2086
- Fax: 855-618-2456
- Phone: 305-500-2000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | ARNP9265974 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| License Number | ARNP9265974 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: