Provider Demographics
NPI:1497099287
Name:NAGEL, SHERI A
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:A
Last Name:NAGEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHARI
Other - Middle Name:
Other - Last Name:LOBNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:P.O. BOX 1535
Mailing Address - Street 2:
Mailing Address - City:WISCONSIN RAPIDS
Mailing Address - State:WI
Mailing Address - Zip Code:54495-4157
Mailing Address - Country:US
Mailing Address - Phone:715-424-3400
Mailing Address - Fax:
Practice Address - Street 1:420 1ST AVE SOUTH
Practice Address - Street 2:
Practice Address - City:WISCONSIN RAPIDS
Practice Address - State:WI
Practice Address - Zip Code:54495-4157
Practice Address - Country:US
Practice Address - Phone:715-424-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4904-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional