Healthcare Provider Details

I. General information

NPI: 1821912791
Provider Name (Legal Business Name): SHERRIE URENA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 G AND S DR
DUDLEY MA
01571-6137
US

IV. Provider business mailing address

15 G AND S DR
DUDLEY MA
01571-6137
US

V. Phone/Fax

Practice location:
  • Phone: 508-373-6849
  • Fax:
Mailing address:
  • Phone: 508-373-6849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHERRIE URENA
Title or Position: OWNER
Credential: DNP, PMHNP-BC
Phone: 508-373-6849