Provider Demographics
NPI:1013033737
Name:ROSS, SHERYL L (CNP)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:L
Last Name:ROSS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 ADAIR AVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-2836
Mailing Address - Country:US
Mailing Address - Phone:740-454-5239
Mailing Address - Fax:
Practice Address - Street 1:716 ADAIR AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2836
Practice Address - Country:US
Practice Address - Phone:740-454-5239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-05728363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
2790609OtherMCAID,MORGAN - FFS
1205018348OtherMORGAN NPI - FFS
1104008242OtherMUSK. NPI - FFS
1528257789OtherMORGAN NPI - FQHC
1841472982OtherMUSK. NPI - FQHC
2790583OtherMCAID, MORGAN - FQHC
OH2339017Medicaid
2790547OtherMCAID, MUSK. - FQHC
2790574OtherMCAID, MUSK. - FFS
2790574OtherMCAID, MUSK. - FFS