Provider Demographics
NPI:1457552630
Name:DICE, SHERRY JEAN
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:JEAN
Last Name:DICE
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 1:710 SYDNEY TER
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-6958
Mailing Address - Country:US
Mailing Address - Phone:410-222-7247
Mailing Address - Fax:
Practice Address - Street 1:ANNE ARUNDEL COUNTY HEALTH DEPARTMENT
Practice Address - Street 2:1 HARRY S TRUMAN PARKWAY
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401
Practice Address - Country:US
Practice Address - Phone:410-222-7541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR089221163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health