Provider Demographics
NPI:1063816742
Name:HOUGHLAND, SHERI (RN)
Entity Type:Individual
Prefix:MS
First Name:SHERI
Middle Name:
Last Name:HOUGHLAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:SHERI
Other - Middle Name:
Other - Last Name:HOUGHLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:9025 HEMINGWAY
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-1854
Mailing Address - Country:US
Mailing Address - Phone:313-605-0803
Mailing Address - Fax:
Practice Address - Street 1:8623 N WAYNE RD
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-1137
Practice Address - Country:US
Practice Address - Phone:734-425-0636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704272018163W00000X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse