Provider Demographics
NPI:1518678598
Name:SHER, ELAINNE
Entity Type:Individual
Prefix:
First Name:ELAINNE
Middle Name:
Last Name:SHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 INNOVATION DR STE 400
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8000
Mailing Address - Country:US
Mailing Address - Phone:615-224-7755
Mailing Address - Fax:
Practice Address - Street 1:550 DEEP VALLEY DR STE 283
Practice Address - Street 2:
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-7602
Practice Address - Country:US
Practice Address - Phone:310-541-7800
Practice Address - Fax:310-541-7808
Is Sole Proprietor?:No
Enumeration Date:2022-12-09
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95007162363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily