MEDICARE: SHERRI DANITA FEWELL MS

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	374J00000X	Doula

General Provider Information

NPI Number	:	1962157818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRI DANITA FEWELL MS

Provider Business Mailing Address
First Line	:	2909 WINTERBOURNE DRIVE
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-9103
Country	:	US
Telephone Number	:	240-346-4372
Fax Number	:

Provider Business Practice Location Address
First Line	:	2909 WINTERBOURNE DRIVE
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-2077
Country	:	US
Telephone Number	:	240-346-4372
Fax Number	:

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

Provider Enumeration Date	:	02/18/2022
Last Update Date	:	02/18/2022

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