Provider Demographics
NPI:1275974610
Name:SHERWOOD, BRITTANY ANN (APRN)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 NW 165TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-6011
Mailing Address - Country:US
Mailing Address - Phone:954-715-4217
Mailing Address - Fax:844-223-3025
Practice Address - Street 1:151 NW 165TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-6011
Practice Address - Country:US
Practice Address - Phone:954-715-4217
Practice Address - Fax:844-223-3025
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-15
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY401779363LP0808X
IA146021163W00000X
FL9341880363LP0808X
IAG146021363LP0808X
NY665183163W00000X
FLRN9341880163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9341880OtherARNP LICENSE
IAG146021OtherARNP LICENSE