Provider Demographics
NPI:1184940850
Name:VICKERS, SHERRY ANN (CNA)
Entity type:Individual
Prefix:MISS
First Name:SHERRY
Middle Name:ANN
Last Name:VICKERS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1655 24TH ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-8619
Mailing Address - Country:US
Mailing Address - Phone:941-225-0181
Mailing Address - Fax:941-366-7425
Practice Address - Street 1:1655 24TH ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-8619
Practice Address - Country:US
Practice Address - Phone:941-225-0181
Practice Address - Fax:941-366-7425
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-20
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL92485376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide