Provider Demographics
NPI:1942080163
Name:BERGER, SHERI LYNN (LPN)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:LYNN
Last Name:BERGER
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 1:2201 SUMMERLON CIR
Mailing Address - Street 2:
Mailing Address - City:DODGE CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67801-2985
Mailing Address - Country:US
Mailing Address - Phone:620-225-7146
Mailing Address - Fax:316-469-0805
Practice Address - Street 1:2201 SUMMERLON CIR
Practice Address - Street 2:
Practice Address - City:DODGE CITY
Practice Address - State:KS
Practice Address - Zip Code:67801-2985
Practice Address - Country:US
Practice Address - Phone:620-225-7146
Practice Address - Fax:316-469-0805
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS23-21977-082164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse