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1598209553

NPI Code Detail

MEDICARE: SHERI HYDER COUCH

MEDICARE: SHERI HYDER COUCH

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	5009150	NC
2	363L00000X	Nurse Practitioner	5009150	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	NCW841J277	OTHER	NC	MEDICARE
6	Q00164251	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19P4D	OTHER	NC	BCBS NC
2	1332003-0001	OTHER	NC	BWC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598209553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERI HYDER COUCH

Provider Business Mailing Address
First Line	:	PO BOX 1641
Second Line	:
City	:	BRYSON CITY
State	:	NC
Zip	:	28713-1641
Country	:	US
Telephone Number	:	980-279-5801
Fax Number	:	828-538-4441

Provider Business Practice Location Address
First Line	:	249 OAK ST
Second Line	:
City	:	FOREST CITY
State	:	NC
Zip	:	28043-3585
Country	:	US
Telephone Number	:	828-919-2393
Fax Number	:	888-284-2932

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

Provider Enumeration Date	:	12/10/2016
Last Update Date	:	08/10/2023

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Directions to “ SHERI HYDER COUCH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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