Provider Demographics
NPI:1790132421
Name:SHERMAN, PORSCHIA N
Entity Type:Individual
Prefix:
First Name:PORSCHIA
Middle Name:N
Last Name:SHERMAN
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 1:10300 GOLF COURSE RD NW
Mailing Address - Street 2:APT 1213
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-3917
Mailing Address - Country:US
Mailing Address - Phone:505-553-6669
Mailing Address - Fax:
Practice Address - Street 1:10300 GOLF COURSE RD NW
Practice Address - Street 2:APT 1213
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-3917
Practice Address - Country:US
Practice Address - Phone:505-553-6669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other