Healthcare Provider Details

I. General information

NPI: 1134732985
Provider Name (Legal Business Name): SHERRY SOLLARS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2020
Last Update Date: 08/30/2020
Certification Date: 08/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 US HIGHWAY 22 NW STE 4
WASHINGTON COURT HOUSE OH
43160-9187
US

IV. Provider business mailing address

2751 BUNKERHILL GLENDON RD
WASHINGTON COURT HOUSE OH
43160-9665
US

V. Phone/Fax

Practice location:
  • Phone: 740-333-3310
  • Fax: 740-333-4303
Mailing address:
  • Phone: 740-606-6015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0027374
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: