Provider Demographics
NPI:1710479944
Name:WALKER, SHERRY
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:WALKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9900 STATE ROUTE 329
Mailing Address - Street 2:
Mailing Address - City:STEWART
Mailing Address - State:OH
Mailing Address - Zip Code:45778-9511
Mailing Address - Country:US
Mailing Address - Phone:740-541-1629
Mailing Address - Fax:
Practice Address - Street 1:9900 STATE ROUTE 329
Practice Address - Street 2:
Practice Address - City:STEWART
Practice Address - State:OH
Practice Address - Zip Code:45778-9511
Practice Address - Country:US
Practice Address - Phone:740-541-1629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide