MEDICARE: SHERI R MATTHES

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	163W00000X	Registered Nurse	4704258460	MI

General Provider Information

NPI Number	:	1538325253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERI R MATTHES

Provider Business Mailing Address
First Line	:	2672 S DERBY RD
Second Line	:
City	:	SIDNEY
State	:	MI
Zip	:	48885-9763
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2672 S DERBY RD
Second Line	:
City	:	SIDNEY
State	:	MI
Zip	:	48885-9763
Country	:	US
Telephone Number	:	989-506-5291
Fax Number	:

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

Provider Enumeration Date	:	08/01/2008
Last Update Date	:	08/01/2008

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Directions to “ SHERI R MATTHES ” Practice Location

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