Provider Demographics
NPI:1275595860
Name:LOVELL-SHERMAN, NATALIE (FNP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:LOVELL-SHERMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ROPER CORNERS CIR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-4833
Mailing Address - Country:US
Mailing Address - Phone:864-281-9999
Mailing Address - Fax:864-281-9990
Practice Address - Street 1:2 ROPER CORNERS CIR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-4833
Practice Address - Country:US
Practice Address - Phone:864-281-9999
Practice Address - Fax:864-281-9990
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC68662363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCB9566OtherMEDCOST
SCB9566OtherMEDCOST
6577Medicare ID - Type Unspecified
SC500019604Medicare ID - Type UnspecifiedRAILROAD