Provider Demographics
NPI:1922124932
Name:BROWNING, SHERRY RENEE' (LPN)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:RENEE'
Last Name:BROWNING
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2259 KENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44903-9652
Mailing Address - Country:US
Mailing Address - Phone:419-589-3039
Mailing Address - Fax:
Practice Address - Street 1:2259 KENTWOOD DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44903-9652
Practice Address - Country:US
Practice Address - Phone:419-589-3039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN-091001164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2408219Medicaid