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General NPI Number Information
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NPI Number | 1225329600
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Entity Type | Individual
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Provider Name | SHERI DESMOND CNP
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Gender | Female
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 3930 SUNFOREST CT SUITE 100
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City | TOLEDO
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State | OH
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Zip | 43623-4527
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Country | US
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Telephone | 419-251-8760
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Fax | 419-251-8765
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Provider Business Mailing Address
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Address Line | 2200 JEFFERSON AVE 4TH FLOOR
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City | TOLEDO
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State | OH
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Zip | 43604-7101
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Country | US
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Telephone | 419-251-1963
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Fax | 419-251-8765
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 4704214586
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN.CNP.09602
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License Number State | OH
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