Provider Demographics
NPI:1497994990
Name:NURMELA, SHERRY MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:MARIE
Last Name:NURMELA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 CRESCENT OAKS CT
Mailing Address - Street 2:
Mailing Address - City:VALLEY PARK
Mailing Address - State:MO
Mailing Address - Zip Code:63088-1165
Mailing Address - Country:US
Mailing Address - Phone:314-503-7138
Mailing Address - Fax:636-517-1095
Practice Address - Street 1:803 CRESCENT OAKS CT
Practice Address - Street 2:
Practice Address - City:VALLEY PARK
Practice Address - State:MO
Practice Address - Zip Code:63088-1165
Practice Address - Country:US
Practice Address - Phone:636-346-6138
Practice Address - Fax:636-517-1095
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-07
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO148373163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No163W00000XNursing Service ProvidersRegistered Nurse