Provider Demographics
NPI:1396747952
Name:NEFF-HULBERT, SHERRY L (CRNP)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:L
Last Name:NEFF-HULBERT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2056
Mailing Address - Street 2:
Mailing Address - City:SKYLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28776-2056
Mailing Address - Country:US
Mailing Address - Phone:828-575-2644
Mailing Address - Fax:828-350-2174
Practice Address - Street 1:3101 EMRICK BLVD
Practice Address - Street 2:SUITE 211
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8037
Practice Address - Country:US
Practice Address - Phone:610-954-9260
Practice Address - Fax:610-954-9265
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007137163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA076514TYAOtherMEDICARE PTAN
PAQ07441Medicare UPIN