Healthcare Provider Details

I. General information

NPI: 1124353396
Provider Name (Legal Business Name): SHERRY L. MARTELL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2009
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 KS HIGHWAY 264
LARNED KS
67550-5353
US

IV. Provider business mailing address

PO BOX 243
EUREKA KS
67045-0243
US

V. Phone/Fax

Practice location:
  • Phone: 620-285-2131
  • Fax:
Mailing address:
  • Phone: 620-583-2342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-75861-091
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: