Healthcare Provider Details

I. General information

NPI: 1598849739
Provider Name (Legal Business Name): SHERI L BARNES APRN/NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 11/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 45TH STREET
MUNSTER IN
46321
US

IV. Provider business mailing address

1463 INDIANAPOLIS BLVD
WHITING IN
46394-1132
US

V. Phone/Fax

Practice location:
  • Phone: 219-934-6410
  • Fax: 219-924-3143
Mailing address:
  • Phone: 219-742-2810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number28184161A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71003184A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: