Provider Demographics
NPI:1003548363
Name:MATNEY, SHERRY
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:MATNEY
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 1:725 STEWART ST
Mailing Address - Street 2:
Mailing Address - City:WELCH
Mailing Address - State:WV
Mailing Address - Zip Code:24801-2125
Mailing Address - Country:US
Mailing Address - Phone:304-436-6588
Mailing Address - Fax:304-436-2006
Practice Address - Street 1:3076 BETSY BRANCH RD
Practice Address - Street 2:
Practice Address - City:RAYSAL
Practice Address - State:WV
Practice Address - Zip Code:24879
Practice Address - Country:US
Practice Address - Phone:304-967-5857
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-27
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant