Provider Demographics
NPI:1710403282
Name:VINCI, SHERYL ANN (APRN)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:ANN
Last Name:VINCI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:ANN
Other - Last Name:SILBAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1300 ROLLINGBROOK DR STE 508
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3846
Mailing Address - Country:US
Mailing Address - Phone:281-837-6463
Mailing Address - Fax:
Practice Address - Street 1:707 N MICHIGAN ST STE 400
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46601-1071
Practice Address - Country:US
Practice Address - Phone:574-647-8470
Practice Address - Fax:574-647-8475
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-16
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71010788A363LP0808X
TXAP134743363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily