Healthcare Provider Details

I. General information

NPI: 1861208548
Provider Name (Legal Business Name): SHERRY HUANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2024
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 CURIE BLVD
PHILADELPHIA PA
19104-4217
US

IV. Provider business mailing address

418 CURIE BLVD
PHILADELPHIA PA
19104-4217
US

V. Phone/Fax

Practice location:
  • Phone: 215-898-8281
  • Fax:
Mailing address:
  • Phone: 215-898-8281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR25186100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number966281
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF406571-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: