Provider Demographics
NPI:1598096711
Name:SHERRIN, SHERRIE LYNN (CRNA)
Entity Type:Individual
Prefix:MS
First Name:SHERRIE
Middle Name:LYNN
Last Name:SHERRIN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MRS
Other - First Name:SHERRIE
Other - Middle Name:LYNN
Other - Last Name:HARDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:608 E 35TH ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-1514
Mailing Address - Country:US
Mailing Address - Phone:704-604-8218
Mailing Address - Fax:
Practice Address - Street 1:1000 BLYTHE BLVD
Practice Address - Street 2:ANESTHESIA
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-5812
Practice Address - Country:US
Practice Address - Phone:704-355-8983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-28
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERNA203068367500000X
NC156088367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8053733Medicaid
SCNAN954Medicaid
SCNAN954Medicaid