MEDICARE: ELAINNE SHER

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	363LF0000X	Family Nurse Practitioner	95007162	CA

General Provider Information

NPI Number	:	1518678598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINNE SHER

Provider Business Mailing Address
First Line	:	302 INNOVATION DR STE 400
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-8000
Country	:	US
Telephone Number	:	615-224-7755
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 DEEP VALLEY DR STE 283
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274-7602
Country	:	US
Telephone Number	:	310-541-7800
Fax Number	:	310-541-7808

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

Provider Enumeration Date	:	12/09/2022
Last Update Date	:	12/09/2022

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Directions to “ ELAINNE SHER ” Practice Location

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