Provider Demographics
NPI:1629091533
Name:FREEMAN, SHERRY A (ARNP)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:A
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:SHERRY
Other - Middle Name:A
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:521 NORTHWEST 79TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324
Mailing Address - Country:US
Mailing Address - Phone:954-661-3460
Mailing Address - Fax:
Practice Address - Street 1:2650 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4531
Practice Address - Country:US
Practice Address - Phone:786-953-6918
Practice Address - Fax:786-953-6078
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 417552163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL303485200Medicaid
FL303485200Medicaid