Provider Demographics
NPI:1578983391
Name:SHERBERT, VALORIE (LPN)
Entity Type:Individual
Prefix:
First Name:VALORIE
Middle Name:
Last Name:SHERBERT
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 1:4116 CAMDEN AVE
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44055-3854
Mailing Address - Country:US
Mailing Address - Phone:440-320-2969
Mailing Address - Fax:
Practice Address - Street 1:4116 CAMDEN AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44055-3854
Practice Address - Country:US
Practice Address - Phone:440-320-2969
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-19
Last Update Date:2014-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN138698164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse