Provider Demographics
NPI:1518296516
Name:DAVIDSON, SHERRI LYNN ANNE (ARNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI LYNN
Middle Name:ANNE
Last Name:DAVIDSON
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 59TH ST W
Mailing Address - Street 2:SUITE 3600
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-4616
Mailing Address - Country:US
Mailing Address - Phone:941-798-6477
Mailing Address - Fax:941-798-6475
Practice Address - Street 1:2010 59TH ST W
Practice Address - Street 2:SUITE 3600
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-4616
Practice Address - Country:US
Practice Address - Phone:941-798-6477
Practice Address - Fax:941-798-6475
Is Sole Proprietor?:No
Enumeration Date:2009-12-22
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3335232363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health