MEDICARE: SHERI K MAR C.N.

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	133N00000X	Nutritionist	NU00001330	WA

General Provider Information

NPI Number	:	1710083316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERI K MAR C.N.

Provider Business Mailing Address
First Line	:	PO BOX 17468
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98127-1168
Country	:	US
Telephone Number	:	206-789-6440
Fax Number	:	206-590-5915

Provider Business Practice Location Address
First Line	:	5414 BARNES AVE NW STE 1
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-3839
Country	:	US
Telephone Number	:	206-789-6440
Fax Number	:	206-590-5915

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

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	12/14/2024

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Directions to “ SHERI K MAR C.N.” Practice Location

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