Provider Demographics
NPI:1922278886
Name:GALLION, SHERRY ANN (RN)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:ANN
Last Name:GALLION
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 1:4114 COUNTY ROAD 15
Mailing Address - Street 2:
Mailing Address - City:MARENGO
Mailing Address - State:OH
Mailing Address - Zip Code:43334-9425
Mailing Address - Country:US
Mailing Address - Phone:419-253-0193
Mailing Address - Fax:
Practice Address - Street 1:4114 COUNTY ROAD 15
Practice Address - Street 2:
Practice Address - City:MARENGO
Practice Address - State:OH
Practice Address - Zip Code:43334-9425
Practice Address - Country:US
Practice Address - Phone:419-253-0193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN253871163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse