Provider Demographics
NPI:1922126747
Name:DELL, SHERRY ANN (PHD, CN)
Entity Type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:ANN
Last Name:DELL
Suffix:
Gender:F
Credentials:PHD, CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4130 SUMMITVIEW DR
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-8802
Mailing Address - Country:US
Mailing Address - Phone:888-830-4004
Mailing Address - Fax:888-830-4004
Practice Address - Street 1:4130 SUMMITVIEW DR
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-8802
Practice Address - Country:US
Practice Address - Phone:888-830-4004
Practice Address - Fax:888-830-4004
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO000239133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education