Provider Demographics
NPI:1922445410
Name:SCOTT, SHERRICE (NURSE)
Entity Type:Individual
Prefix:
First Name:SHERRICE
Middle Name:
Last Name:SCOTT
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 E 49TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44127-1648
Mailing Address - Country:US
Mailing Address - Phone:440-832-0140
Mailing Address - Fax:
Practice Address - Street 1:3411 E 49TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44127-1648
Practice Address - Country:US
Practice Address - Phone:440-832-0140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-24
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN147254-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse