Provider Demographics
NPI:1164401295
Name:TRATNACK, SHERI A (NP)
Entity Type:Individual
Prefix:DR
First Name:SHERI
Middle Name:A
Last Name:TRATNACK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 7TH ST
Mailing Address - Street 2:PO BOX 489
Mailing Address - City:GROTTOES
Mailing Address - State:VA
Mailing Address - Zip Code:24441-1708
Mailing Address - Country:US
Mailing Address - Phone:540-249-5901
Mailing Address - Fax:540-249-5902
Practice Address - Street 1:100 7TH ST
Practice Address - Street 2:
Practice Address - City:GROTTOES
Practice Address - State:VA
Practice Address - Zip Code:24441-1708
Practice Address - Country:US
Practice Address - Phone:540-249-5901
Practice Address - Fax:540-249-5902
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001072529163W00000X
VA0024-072529363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010343984Medicaid
VA001796M20Medicare PIN
VA010343984Medicaid
VA190000620Medicare PIN