Provider Demographics
NPI:1790379535
Name:SUMMERS, SHERRY MARIE
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:MARIE
Last Name:SUMMERS
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 1:24 HUNTERS WOODS CT
Mailing Address - Street 2:
Mailing Address - City:HARPERS FERRY
Mailing Address - State:WV
Mailing Address - Zip Code:25425-5069
Mailing Address - Country:US
Mailing Address - Phone:240-674-3627
Mailing Address - Fax:
Practice Address - Street 1:24 HUNTERS WOODS CT
Practice Address - Street 2:
Practice Address - City:HARPERS FERRY
Practice Address - State:WV
Practice Address - Zip Code:25425-5069
Practice Address - Country:US
Practice Address - Phone:240-674-3627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-23
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant