Provider Demographics
NPI:1689331225
Name:CUTLER, SHERNEICE (RN)
Entity Type:Individual
Prefix:MS
First Name:SHERNEICE
Middle Name:
Last Name:CUTLER
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 1:1215 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-5617
Mailing Address - Country:US
Mailing Address - Phone:443-858-2003
Mailing Address - Fax:
Practice Address - Street 1:1215 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-5617
Practice Address - Country:US
Practice Address - Phone:443-858-2003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR208223163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice