Provider Demographics
NPI:1528217858
Name:SWARTZ, SHERRY (LPN)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:
Last Name:SWARTZ
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 1:3250 ROUTE 20A
Mailing Address - Street 2:
Mailing Address - City:VARYSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14167-9787
Mailing Address - Country:US
Mailing Address - Phone:585-689-0195
Mailing Address - Fax:
Practice Address - Street 1:3250 ROUTE 20A
Practice Address - Street 2:
Practice Address - City:VARYSBURG
Practice Address - State:NY
Practice Address - Zip Code:14167-9787
Practice Address - Country:US
Practice Address - Phone:585-689-0195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-10
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175946-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse