Provider Demographics
NPI:1689204380
Name:WERTH, SHERRY LYNN (MSN, RN, CWOCN)
Entity Type:Individual
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First Name:SHERRY
Middle Name:LYNN
Last Name:WERTH
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Gender:F
Credentials:MSN, RN, CWOCN
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Mailing Address - Street 1:PO BOX 30480
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48909-7980
Mailing Address - Country:US
Mailing Address - Phone:517-364-2687
Mailing Address - Fax:517-364-2632
Practice Address - Street 1:1215 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-1811
Practice Address - Country:US
Practice Address - Phone:517-364-2687
Practice Address - Fax:517-364-2632
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
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Provider Licenses
StateLicense IDTaxonomies
MI4704136800364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist