Provider Demographics
NPI:1073067989
Name:RICHEY, SHERRI (MSN-RN)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:
Last Name:RICHEY
Suffix:
Gender:F
Credentials:MSN-RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 N SILVER ST
Mailing Address - Street 2:
Mailing Address - City:SILVER CITY
Mailing Address - State:NM
Mailing Address - Zip Code:88061-7286
Mailing Address - Country:US
Mailing Address - Phone:575-956-2060
Mailing Address - Fax:575-956-2098
Practice Address - Street 1:3500 N SILVER ST
Practice Address - Street 2:
Practice Address - City:SILVER CITY
Practice Address - State:NM
Practice Address - Zip Code:88061-7286
Practice Address - Country:US
Practice Address - Phone:575-956-2060
Practice Address - Fax:575-956-2098
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMR45213163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse