Provider Demographics
NPI:1235161290
Name:KLASS, SHERI JO (FNP)
Entity Type:Individual
Prefix:MS
First Name:SHERI
Middle Name:JO
Last Name:KLASS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:SHERI
Other - Middle Name:J
Other - Last Name:LOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP/GNP
Mailing Address - Street 1:28 TULIP CT
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-3804
Mailing Address - Country:US
Mailing Address - Phone:845-642-8813
Mailing Address - Fax:
Practice Address - Street 1:2016 BRONXDALE AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462
Practice Address - Country:US
Practice Address - Phone:718-409-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33 334330363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily