Provider Demographics
NPI:1447400247
Name:PRINTZ, SHERI MICHELE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHERI
Middle Name:MICHELE
Last Name:PRINTZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:SHERI
Other - Middle Name:MICHELE
Other - Last Name:PRINTZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDH
Mailing Address - Street 1:1340 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NE
Mailing Address - Zip Code:69162-2060
Mailing Address - Country:US
Mailing Address - Phone:308-254-7171
Mailing Address - Fax:
Practice Address - Street 1:166TH STREET, AIRPORT RD
Practice Address - Street 2:
Practice Address - City:EAGLE BUTTE
Practice Address - State:SD
Practice Address - Zip Code:57625
Practice Address - Country:US
Practice Address - Phone:605-964-0650
Practice Address - Fax:605-364-7730
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1836124Q00000X
NE169431835E0208X
CODH-905310124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835E0208XPharmacy Service ProvidersPharmacistEmergency Medicine
No124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1836OtherDENTAL HYGIENE
NE725OtherLOCAL ANESTHESIA CERTIFICATION
CODH-905310OtherDENTALH HYGIENE LICENCE
NE16943OtherPHARMACIST