Healthcare Provider Details

I. General information

NPI: 1881717395
Provider Name (Legal Business Name): SHERRYL ELAINE WRIGHTSMAN R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N MADISON AVE
ANDERSON IN
46011-3453
US

IV. Provider business mailing address

1515 N MADISON AVE
ANDERSON IN
46011-3453
US

V. Phone/Fax

Practice location:
  • Phone: 765-298-2229
  • Fax: 765-298-5828
Mailing address:
  • Phone: 765-298-2229
  • Fax: 765-298-5828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28061710A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: