Provider Demographics
NPI:1104214881
Name:SLONIM, SHERYL A (NP-C)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:A
Last Name:SLONIM
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 BAYVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08721-1105
Mailing Address - Country:US
Mailing Address - Phone:732-672-7347
Mailing Address - Fax:
Practice Address - Street 1:299 BAYVIEW AVE
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08721-1105
Practice Address - Country:US
Practice Address - Phone:732-672-7347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00540600363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health