MEDICARE: MRS. SHERRY MICHELLE DONAHUE-BROWN

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	376J00000X	Homemaker
3	171W00000X	Contractor

General Provider Information

NPI Number	:	1417011396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERRY MICHELLE DONAHUE-BROWN

Provider Business Mailing Address
First Line	:	PO BOX 183714
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76096-3714
Country	:	US
Telephone Number	:	817-726-5889
Fax Number	:	817-451-5689

Provider Business Practice Location Address
First Line	:	1174 COUNTRY CLUB LN
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76112-2303
Country	:	US
Telephone Number	:	817-451-5213
Fax Number	:	817-451-5689

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2006
Last Update Date	:	06/12/2020

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