Provider Demographics
NPI:1205226206
Name:SHERMAN, CHARLOTTE RENEE (RN)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:RENEE
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-1914
Mailing Address - Country:US
Mailing Address - Phone:937-423-0946
Mailing Address - Fax:
Practice Address - Street 1:219 E 3RD ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-1914
Practice Address - Country:US
Practice Address - Phone:937-423-0946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-28
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.320420374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide