Provider Demographics
NPI:1508455130
Name:AMORY, SHERIKA SHAWAN (LVN)
Entity Type:Individual
Prefix:
First Name:SHERIKA
Middle Name:SHAWAN
Last Name:AMORY
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13562 BLUE MARLIN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-4843
Mailing Address - Country:US
Mailing Address - Phone:346-813-5792
Mailing Address - Fax:
Practice Address - Street 1:13562 BLUE MARLIN LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-4843
Practice Address - Country:US
Practice Address - Phone:832-459-0371
Practice Address - Fax:281-783-2643
Is Sole Proprietor?:No
Enumeration Date:2021-01-18
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3747P1801X, 376J00000X
TX188163164X00000X, 164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker