Provider Demographics
NPI:1497797344
Name:DOWNING-SHERMAN, MYRA D (ARNP)
Entity Type:Individual
Prefix:
First Name:MYRA
Middle Name:D
Last Name:DOWNING-SHERMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 SE 17TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-2618
Mailing Address - Country:US
Mailing Address - Phone:352-732-5365
Mailing Address - Fax:352-732-5372
Practice Address - Street 1:2415 SE 17TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2618
Practice Address - Country:US
Practice Address - Phone:352-732-5365
Practice Address - Fax:352-732-5372
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 2689422363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU7136ZOtherMEDICARE NUMBER
FLU7136YOtherMEDICARE PROVIDER NUMBER
FLU7136UMedicare PIN
FLU7136ZOtherMEDICARE NUMBER