Provider Demographics
NPI:1184134710
Name:SHERMAN, SHERA ANICE
Entity type:Individual
Prefix:
First Name:SHERA
Middle Name:ANICE
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 NW 55TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-4485
Mailing Address - Country:US
Mailing Address - Phone:352-283-3572
Mailing Address - Fax:
Practice Address - Street 1:811 NW 55TH TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4485
Practice Address - Country:US
Practice Address - Phone:352-283-3572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-10
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist
No171R00000XOther Service ProvidersInterpreter
No372600000XNursing Service Related ProvidersAdult Companion
No102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist