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NPI Code Detail

MEDICARE: SHERRIE DEE ALICIE CFNP

MEDICARE: SHERRIE DEE ALICIE CFNP
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
1363LF0000XFamily Nurse Practitioner0024164899VA

General Provider Information

NPI Number : 1972786226
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRIE DEE ALICIE CFNP
Provider Business Mailing Address
First Line : 59 PARNASSUS RD
Second Line :
City : LINDEN
State : VA
Zip : 22642-5950
Country : US
Telephone Number : 540-636-1156
Fax Number :
Provider Business Practice Location Address
First Line : 510 BLACKWELL RD
Second Line :
City : WARRENTON
State : VA
Zip : 20186-2600
Country : US
Telephone Number : 540-729-3987
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2007
Last Update Date : 03/31/2022

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