Provider Demographics
NPI:1023039633
Name:MONTROWL, SHERYL BROWN (ARNP)
Entity Type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:BROWN
Last Name:MONTROWL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:BROWN
Other - Last Name:MONTROWL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 100296
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0296
Mailing Address - Country:US
Mailing Address - Phone:352-273-8985
Mailing Address - Fax:
Practice Address - Street 1:1600 SW ARCHER RD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3003
Practice Address - Country:US
Practice Address - Phone:352-392-4195
Practice Address - Fax:352-392-4533
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1616542363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL301638200Medicaid
Y5712Medicare PIN