Provider Demographics
NPI:1427566926
Name:NELSON, SHERINA
Entity Type:Individual
Prefix:
First Name:SHERINA
Middle Name:
Last Name:NELSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2553 PATRICK HENRY ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-2326
Mailing Address - Country:US
Mailing Address - Phone:248-843-1536
Mailing Address - Fax:248-977-3173
Practice Address - Street 1:2553 PATRICK HENRY ST
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-2326
Practice Address - Country:US
Practice Address - Phone:248-843-1536
Practice Address - Fax:248-977-3173
Is Sole Proprietor?:No
Enumeration Date:2018-01-18
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide