Provider Demographics
NPI:1942604400
Name:SMUDA, SHERRI RENEE (CRNP)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:RENEE
Last Name:SMUDA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:RENEE
Other - Last Name:STREIGHTIFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13620 CRAYTON BLVD
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-2335
Mailing Address - Country:US
Mailing Address - Phone:240-313-3100
Mailing Address - Fax:
Practice Address - Street 1:13620 CRAYTON BLVD
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-2335
Practice Address - Country:US
Practice Address - Phone:240-313-3100
Practice Address - Fax:240-313-3101
Is Sole Proprietor?:No
Enumeration Date:2014-10-13
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR166175363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily