Provider Demographics
NPI:1295377620
Name:HOULE, SHERRI GAIL (APRN)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:GAIL
Last Name:HOULE
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 1:333 N SUMMIT ST FL 15
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-2615
Mailing Address - Country:US
Mailing Address - Phone:540-765-3609
Mailing Address - Fax:
Practice Address - Street 1:2840 ELECTRIC RD SW
Practice Address - Street 2:SUITE 106A
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-3551
Practice Address - Country:US
Practice Address - Phone:540-765-3609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-17
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024183167363L00000X, 363LG0600X
FLAPRN11004673363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner