Provider Demographics
NPI:1003341546
Name:MARRERO, SHERYL
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:MARRERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2868 STELZER RD # 217
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-3133
Mailing Address - Country:US
Mailing Address - Phone:614-410-9997
Mailing Address - Fax:
Practice Address - Street 1:1 MT ZION ST
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:GA
Practice Address - Zip Code:31060-4507
Practice Address - Country:US
Practice Address - Phone:614-410-9997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care