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NPI Code Detail

MEDICARE: MRS. SHERYL LYNN WILLYERD RN

MEDICARE:  MRS. SHERYL LYNN WILLYERD  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse501740TX
2163WC1500XCommunity Health Registered Nurse501740TX

General Provider Information

NPI Number : 1326287012
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHERYL LYNN WILLYERD RN
Provider Business Mailing Address
First Line : 1101 S.MAIN STREET
Second Line : SUITE 1500
City : FORT WORTH
State : TX
Zip : 76104
Country : US
Telephone Number : 817-321-4800
Fax Number :
Provider Business Practice Location Address
First Line : 1101 S MAIN ST
Second Line : SUITE 1500
City : FORT WORTH
State : TX
Zip : 76104-4802
Country : US
Telephone Number : 817-321-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2009
Last Update Date : 02/19/2009

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Directions to “ MRS. SHERYL LYNN WILLYERD RN” Practice Location

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