Provider Demographics
NPI:1629312756
Name:BLENDEN, SHERRY (DVM)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:
Last Name:BLENDEN
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 112
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:WV
Mailing Address - Zip Code:26801-0112
Mailing Address - Country:US
Mailing Address - Phone:304-897-7519
Mailing Address - Fax:
Practice Address - Street 1:910 N LIBERTY ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802-4504
Practice Address - Country:US
Practice Address - Phone:540-437-1980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV01-2009174M00000X
VA0301201937174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian