Provider Demographics
NPI:1235110636
Name:WOODS, SHERRY BRYANT (LVN)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:BRYANT
Last Name:WOODS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 UPPER TURTLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:KERRVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78028-8517
Mailing Address - Country:US
Mailing Address - Phone:830-792-4683
Mailing Address - Fax:830-537-4082
Practice Address - Street 1:13 NOTTINGHAM LN
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-7912
Practice Address - Country:US
Practice Address - Phone:830-537-4078
Practice Address - Fax:830-537-4082
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX195059164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse