Provider Demographics
NPI:1598836017
Name:SARVER, SHEREE K (NP)
Entity Type:Individual
Prefix:MRS
First Name:SHEREE
Middle Name:K
Last Name:SARVER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15918 N FEUCHT RD
Mailing Address - Street 2:
Mailing Address - City:PRICNEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61559
Mailing Address - Country:US
Mailing Address - Phone:309-243-7313
Mailing Address - Fax:
Practice Address - Street 1:705 NE JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61603
Practice Address - Country:US
Practice Address - Phone:309-673-0907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL363LW0102X363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health