Provider Demographics
NPI:1538670914
Name:SHERLOCK, EMILY MICHELLE (APN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MICHELLE
Last Name:SHERLOCK
Suffix:
Gender:F
Credentials:APN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3487 W 10TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-5361
Mailing Address - Country:US
Mailing Address - Phone:970-352-4762
Mailing Address - Fax:
Practice Address - Street 1:3487 W 10TH ST STE B
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-5361
Practice Address - Country:US
Practice Address - Phone:970-352-4762
Practice Address - Fax:970-352-0040
Is Sole Proprietor?:No
Enumeration Date:2017-10-12
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993471-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily