Provider Demographics
NPI:1518737782
Name:ALEXANDER, SHERRY LEIGH (LPN)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:LEIGH
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 #M BOOTH STREET
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-1340
Mailing Address - Country:US
Mailing Address - Phone:775-348-7300
Mailing Address - Fax:
Practice Address - Street 1:103 PROFESSIONAL CIRCLE
Practice Address - Street 2:STE 125
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521
Practice Address - Country:US
Practice Address - Phone:775-560-3116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLPN5533164X00000X, 164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No164X00000XNursing Service ProvidersLicensed Vocational NurseGroup - Single Specialty