Provider Demographics
NPI:1821011081
Name:MOSLEY, SHERRY DELOIS (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:DELOIS
Last Name:MOSLEY
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 RESEARCH DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95838-3257
Mailing Address - Country:US
Mailing Address - Phone:916-648-0975
Mailing Address - Fax:
Practice Address - Street 1:3950 RESEARCH DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95838-3257
Practice Address - Country:US
Practice Address - Phone:916-648-0975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA308599163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse