Provider Demographics
NPI:1477230449
Name:SHERWOOD, ASHLEY RAE
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RAE
Last Name:SHERWOOD
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 1:2028 FULLER RD
Mailing Address - Street 2:
Mailing Address - City:BURT
Mailing Address - State:NY
Mailing Address - Zip Code:14028-9715
Mailing Address - Country:US
Mailing Address - Phone:716-909-2462
Mailing Address - Fax:
Practice Address - Street 1:2028 FULLER RD
Practice Address - Street 2:
Practice Address - City:BURT
Practice Address - State:NY
Practice Address - Zip Code:14028-9715
Practice Address - Country:US
Practice Address - Phone:716-909-2462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-30
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula