Provider Demographics
NPI:1821202490
Name:SPERRY, HEATHER MICHELLE
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:MICHELLE
Last Name:SPERRY
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 1:202 MCGILL ST
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-8422
Mailing Address - Country:US
Mailing Address - Phone:740-972-0583
Mailing Address - Fax:
Practice Address - Street 1:202 MCGILL ST
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-8422
Practice Address - Country:US
Practice Address - Phone:740-972-0583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered347C00000XTransportation ServicesPrivate Vehicle
Not Answered372500000XNursing Service Related ProvidersChore Provider
Not Answered372600000XNursing Service Related ProvidersAdult Companion
Not Answered376J00000XNursing Service Related ProvidersHomemaker
Not Answered376K00000XNursing Service Related ProvidersNurse's Aide
Not Answered385H00000XRespite Care FacilityRespite Care