MEDICARE: MRS. SHERI LYNN BLANCHARD NP

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	RN256933	OH
2	363LF0000X	Family Nurse Practitioner	CNP021811	OH
3	363LF0000X	Family Nurse Practitioner	APRN9446463	FL
4	363LF0000X	Family Nurse Practitioner	APRN-CNP	NV

General Provider Information

NPI Number	:	1588689954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERI LYNN BLANCHARD NP

Provider Business Mailing Address
First Line	:	4127 ARLINGTON RIDGE BLVD
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34748-1221
Country	:	US
Telephone Number	:	419-564-8848
Fax Number	:

Provider Business Practice Location Address
First Line	:	6670 S TENAYA WAY STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1961
Country	:	US
Telephone Number	:	702-907-5683
Fax Number	:

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	04/22/2021

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