Provider Demographics
NPI:1073289773
Name:LABERINTO-LASSLO, SHERILYN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:SHERILYN
Middle Name:
Last Name:LABERINTO-LASSLO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 BLACK OAK CT
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-7603
Mailing Address - Country:US
Mailing Address - Phone:707-301-3361
Mailing Address - Fax:
Practice Address - Street 1:1219 BLACK OAK CT
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-7603
Practice Address - Country:US
Practice Address - Phone:707-301-3361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-21
Last Update Date:2021-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95018111363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily