Provider Demographics
NPI:1265827091
Name:SHERMAN, DORIS ANN (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:DORIS
Middle Name:ANN
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:MRS
Other - First Name:DORIS
Other - Middle Name:ANN
Other - Last Name:SAFFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:910 GOSPEL HILL
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13780
Mailing Address - Country:US
Mailing Address - Phone:607-226-4336
Mailing Address - Fax:
Practice Address - Street 1:910 GOSPEL HILL
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:NY
Practice Address - Zip Code:13780
Practice Address - Country:US
Practice Address - Phone:607-226-4336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-30
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY660346-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse