Provider Demographics
NPI:1609113729
Name:HEINRICH, SHERYL JOAN (RN)
Entity Type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:JOAN
Last Name:HEINRICH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 E. ALDER STREET
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-3293
Mailing Address - Country:US
Mailing Address - Phone:509-527-3077
Mailing Address - Fax:509-522-4487
Practice Address - Street 1:1105 E. ISAACS STREET
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-3293
Practice Address - Country:US
Practice Address - Phone:509-527-3077
Practice Address - Fax:509-522-4487
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-09
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60095313163W00000X, 163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No163W00000XNursing Service ProvidersRegistered Nurse