Provider Demographics
NPI:1174864599
Name:WARSHAW, SHERRI LEE (RDH, CTTS)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:LEE
Last Name:WARSHAW
Suffix:
Gender:F
Credentials:RDH, CTTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10350 RYANS WAY
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2478
Mailing Address - Country:US
Mailing Address - Phone:513-509-9998
Mailing Address - Fax:513-891-5679
Practice Address - Street 1:10350 RYANS WAY
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45241-2478
Practice Address - Country:US
Practice Address - Phone:513-509-9998
Practice Address - Fax:513-891-5679
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH-31-00-9089124Q00000X, 174H00000X
FLDH15732124Q00000X, 174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No124Q00000XDental ProvidersDental Hygienist