Provider Demographics
NPI:1023666138
Name:SAUVEUR, SHERLINE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:SHERLINE
Middle Name:
Last Name:SAUVEUR
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 POWNAL LN
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-6385
Mailing Address - Country:US
Mailing Address - Phone:973-573-6265
Mailing Address - Fax:
Practice Address - Street 1:695 POWNAL LN
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-6385
Practice Address - Country:US
Practice Address - Phone:973-573-6265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-01
Last Update Date:2019-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAG07190298363L00000X, 363LG0600X
GARN253798163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WN0800XNursing Service ProvidersRegistered NurseNeuroscience