Healthcare Provider Details

I. General information

NPI: 1164471348
Provider Name (Legal Business Name): SHERRY GURALNICK COHEN CRNP-F, APRN-PMH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SHERRY GURALNICK

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 10/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6565 N CHARLES ST SUITE 315
BALTIMORE MD
21204-6800
US

IV. Provider business mailing address

6565 N CHARLES ST SUITE 315
BALTIMORE MD
21204-6800
US

V. Phone/Fax

Practice location:
  • Phone: 410-321-1195
  • Fax: 410-321-1197
Mailing address:
  • Phone: 410-321-1195
  • Fax: 410-321-1197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR052071
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: