Provider Demographics
NPI:1497028781
Name:GILBERT, SHERRYANN J (LPN)
Entity Type:Individual
Prefix:MRS
First Name:SHERRYANN
Middle Name:J
Last Name:GILBERT
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:SHERRYANN
Other - Middle Name:J
Other - Last Name:GILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1140 EAST 87TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236
Mailing Address - Country:US
Mailing Address - Phone:718-444-3944
Mailing Address - Fax:718-444-3944
Practice Address - Street 1:1140 E 87TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4709
Practice Address - Country:US
Practice Address - Phone:718-444-3944
Practice Address - Fax:718-444-3944
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY286059-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse