Healthcare Provider Details

I. General information

NPI: 1497704399
Provider Name (Legal Business Name): SHERILYN M REHM ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 03/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38240 DAUGHTERY RD
ZEPHYRHILLS FL
33540-1367
US

IV. Provider business mailing address

38240 DAUGHTERY RD
ZEPHYRHILLS FL
33540-1367
US

V. Phone/Fax

Practice location:
  • Phone: 813-788-3582
  • Fax: 813-780-6707
Mailing address:
  • Phone: 813-788-3582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9242236
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: