Provider Demographics
NPI:1851174726
Name:ERWIN, SHERRELL LANELL (RN)
Entity Type:Individual
Prefix:
First Name:SHERRELL
Middle Name:LANELL
Last Name:ERWIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 SARDIS RD N STE PMB 1060
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-2471
Mailing Address - Country:US
Mailing Address - Phone:704-755-6333
Mailing Address - Fax:
Practice Address - Street 1:4560 HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28056-8476
Practice Address - Country:US
Practice Address - Phone:704-953-2825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-15
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC244510163W00000X
NC4236943163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163W00000XNursing Service ProvidersRegistered Nurse