Provider Demographics
NPI:1710165220
Name:INNERARITY, SHERYL ANN (FNP, CNS)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:ANN
Last Name:INNERARITY
Suffix:
Gender:F
Credentials:FNP, CNS
Other - Prefix:DR
Other - First Name:SHERI
Other - Middle Name:
Other - Last Name:INNERARITY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:1300 FM 2571
Mailing Address - Street 2:
Mailing Address - City:SMITHVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78957-2354
Mailing Address - Country:US
Mailing Address - Phone:512-360-2031
Mailing Address - Fax:512-471-3688
Practice Address - Street 1:441 HWY 71 W
Practice Address - Street 2:B1
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602
Practice Address - Country:US
Practice Address - Phone:512-581-5016
Practice Address - Fax:512-581-5022
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX231424363LF0000X, 364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX20175797OtherDPS