Provider Demographics
NPI:1952073413
Name:PHILIPPE, SHERICA (ARNP FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:SHERICA
Middle Name:
Last Name:PHILIPPE
Suffix:
Gender:F
Credentials:ARNP FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3521 NW 21ST ST
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066-3017
Mailing Address - Country:US
Mailing Address - Phone:786-416-1462
Mailing Address - Fax:
Practice Address - Street 1:3521 NW 21ST ST
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33066-3017
Practice Address - Country:US
Practice Address - Phone:786-416-1462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF0821068363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily