Provider Demographics
NPI:1477586451
Name:COUTO, SHERRY C (NP)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:C
Last Name:COUTO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1833 FILLMORE ST
Mailing Address - Street 2:SUITE # 300
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3180
Mailing Address - Country:US
Mailing Address - Phone:415-885-8135
Mailing Address - Fax:415-885-8144
Practice Address - Street 1:1833 FILLMORE ST
Practice Address - Street 2:SUITE # 300
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3180
Practice Address - Country:US
Practice Address - Phone:415-885-8135
Practice Address - Fax:415-885-8144
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP 16103363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCMC0712136OtherDEA REGISTRATION