Provider Demographics
NPI:1104852581
Name:TRUESDELL, SHERYL ANN (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:ANN
Last Name:TRUESDELL
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 FOX CHASE CIR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-8783
Mailing Address - Country:US
Mailing Address - Phone:770-772-4629
Mailing Address - Fax:770-772-9366
Practice Address - Street 1:420 FOX CHASE CIR
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-8783
Practice Address - Country:US
Practice Address - Phone:770-772-4629
Practice Address - Fax:770-772-9366
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN095565163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant