Provider Demographics
NPI:1477373124
Name:PREVIL, SHERLY (CD, CBS)
Entity type:Individual
Prefix:MS
First Name:SHERLY
Middle Name:
Last Name:PREVIL
Suffix:
Gender:F
Credentials:CD, CBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 FRONT STREET
Mailing Address - Street 2:SUITE 400 #1008
Mailing Address - City:WORCESTER, MA
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1510
Mailing Address - Country:US
Mailing Address - Phone:508-374-3355
Mailing Address - Fax:
Practice Address - Street 1:100 FRONT STREET
Practice Address - Street 2:SUITE 400 #1008
Practice Address - City:WORCESTER, MA
Practice Address - State:MA
Practice Address - Zip Code:01608-1510
Practice Address - Country:US
Practice Address - Phone:508-374-3355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-16
Last Update Date:2024-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula