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NPI Code Detail

MEDICARE: SHERRI SUDDUTH SANDERS CRNP

MEDICARE: SHERRI SUDDUTH SANDERS CRNP
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
1363LF0000XFamily Nurse Practitioner1-122797AL

General Provider Information

NPI Number : 1356718191
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRI SUDDUTH SANDERS CRNP
Provider Business Mailing Address
First Line : 4401 WATERMELON RD
Second Line :
City : NORTHPORT
State : AL
Zip : 35473-5197
Country : US
Telephone Number : 205-343-2811
Fax Number : 205-391-0900
Provider Business Practice Location Address
First Line : 4401 WATERMELON RD
Second Line :
City : NORTHPORT
State : AL
Zip : 35473-5197
Country : US
Telephone Number : 205-343-2811
Fax Number : 205-391-0900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2015
Last Update Date : 08/27/2015

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