Provider Demographics
NPI:1659367183
Name:BELLAMY, SHERRIS H (ARNP)
Entity Type:Individual
Prefix:
First Name:SHERRIS
Middle Name:H
Last Name:BELLAMY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6525 W 100TH TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1628
Mailing Address - Country:US
Mailing Address - Phone:913-652-6520
Mailing Address - Fax:
Practice Address - Street 1:6400 SPRINT PKWY
Practice Address - Street 2:MAILSTOP KSOPHG0202
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66251-6107
Practice Address - Country:US
Practice Address - Phone:913-315-6432
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44874363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily