MEDICARE: SHERRY M NORED CNM

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
1	367A00000X	Advanced Practice Midwife	RN084333	GA

General Provider Information

NPI Number	:	1457304339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY M NORED CNM

Provider Business Mailing Address
First Line	:	601 S ENOTA DR NE
Second Line	:	SUITE Q
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-2400
Country	:	US
Telephone Number	:	770-219-8420
Fax Number	:	770-219-8440

Provider Business Practice Location Address
First Line	:	1498 JESSE JEWELL PKWY SE
Second Line	:	SUITE D
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-3874
Country	:	US
Telephone Number	:	678-450-4757
Fax Number	:	678-450-4758

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	04/02/2013

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