Provider Demographics
NPI:1275565103
Name:PHARRIS, SHEREE L (APN)
Entity Type:Individual
Prefix:MS
First Name:SHEREE
Middle Name:L
Last Name:PHARRIS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 S CARSON STREET
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701
Mailing Address - Country:US
Mailing Address - Phone:775-445-7330
Mailing Address - Fax:775-841-1139
Practice Address - Street 1:1201 S CARSON STREET
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701
Practice Address - Country:US
Practice Address - Phone:775-445-7330
Practice Address - Fax:775-841-1139
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPN00696363LF0000X
NVAPN000696363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily