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NPI Code Detail

MEDICARE: MRS. BRENDA ARLEEN SHERWOOD RN, APRN

MEDICARE: MRS. BRENDA ARLEEN SHERWOOD RN, APRN
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
1363LA2100XAcute Care Nurse Practitioner3007711KY
2363L00000XNurse Practitioner3007711KY

General Provider Information

NPI Number : 1457604233
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRENDA ARLEEN SHERWOOD RN, APRN
Provider Business Mailing Address
First Line : PO BOX 936
Second Line :
City : LONDON
State : KY
Zip : 40743-0936
Country : US
Telephone Number :
Fax Number : 606-330-7825
Provider Business Practice Location Address
First Line : 1401 HARRODSBURG RD STE A300
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3787
Country : US
Telephone Number : 859-276-4429
Fax Number : 859-276-5919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2012
Last Update Date : 07/11/2019

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