Provider Demographics
NPI:1922139856
Name:SOBIN, SHERYL FAYE (RN, FNP)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:FAYE
Last Name:SOBIN
Suffix:
Gender:F
Credentials:RN, FNP
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 414
Mailing Address - Street 2:301 MOLINO CREEK FARM RD
Mailing Address - City:DAVENPORT
Mailing Address - State:CA
Mailing Address - Zip Code:95017-0414
Mailing Address - Country:US
Mailing Address - Phone:831-818-2136
Mailing Address - Fax:
Practice Address - Street 1:1156 HIGH STREET
Practice Address - Street 2:UNIVERSITY OF CALIFORNIA SANTA CRUZ STUDENT HEALTH
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95064
Practice Address - Country:US
Practice Address - Phone:831-459-3952
Practice Address - Fax:831-459-3546
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARN 246718207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine