Provider Demographics
NPI:1235864323
Name:CLUNIS, SHERRI-ANN LLOYDA (FNP)
Entity Type:Individual
Prefix:
First Name:SHERRI-ANN
Middle Name:LLOYDA
Last Name:CLUNIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SHERI-ANN
Other - Middle Name:LLOYDA
Other - Last Name:CLUNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:61 SANDS AVE
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:NY
Mailing Address - Zip Code:12547-5147
Mailing Address - Country:US
Mailing Address - Phone:845-705-1324
Mailing Address - Fax:
Practice Address - Street 1:18 HUDSON CIR
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NY
Practice Address - Zip Code:12542-6187
Practice Address - Country:US
Practice Address - Phone:845-705-1324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-21
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY350552363LF0000X
NY574117163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily