Provider Demographics
NPI:1861860769
Name:WARD, SHERRY DENISE
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:DENISE
Last Name:WARD
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 1:3918 ALDER GROVE LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-6437
Mailing Address - Country:US
Mailing Address - Phone:252-532-4983
Mailing Address - Fax:
Practice Address - Street 1:3918 ALDER GROVE LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-6437
Practice Address - Country:US
Practice Address - Phone:252-532-4983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator