Provider Demographics
NPI:1568707412
Name:ENDERS, SHERRI (MSN, FNP, ARNP-C)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:
Last Name:ENDERS
Suffix:
Gender:F
Credentials:MSN, FNP, ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7925 N WICKHAM RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-8211
Mailing Address - Country:US
Mailing Address - Phone:321-751-7222
Mailing Address - Fax:
Practice Address - Street 1:490 CENTRE LAKE DR NE STE 200
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32907-1189
Practice Address - Country:US
Practice Address - Phone:321-633-3278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-04
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9191907363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily