Provider Demographics
NPI:1245368992
Name:URENA, SHERRIE MARIE (DNP, PMHNP-BC)
Entity type:Individual
Prefix:MS
First Name:SHERRIE
Middle Name:MARIE
Last Name:URENA
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 G AND S DR
Mailing Address - Street 2:
Mailing Address - City:DUDLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01571-6137
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:508-365-6226
Practice Address - Street 1:435 SHREWSBURY ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-1689
Practice Address - Country:US
Practice Address - Phone:508-373-6849
Practice Address - Fax:508-365-6226
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2299804363LP0808X
MA7316101YM0800X
MA2042101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional