Provider Demographics
NPI:1457695132
Name:ABRIAM, SHERRELL SIANOYA (ARNP)
Entity type:Individual
Prefix:
First Name:SHERRELL
Middle Name:SIANOYA
Last Name:ABRIAM
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:SHERELL
Other - Middle Name:CASTILLO
Other - Last Name:SIANOYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8120 TIMBERLAKE WAY STE 107
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5413
Practice Address - Country:US
Practice Address - Phone:916-681-6000
Practice Address - Fax:916-681-6188
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22624363LF0000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily