Provider Demographics
NPI:1508691981
Name:RODGERS-GARNETT, SHERRI (RN)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:
Last Name:RODGERS-GARNETT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:
Other - Last Name:GARNETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1802 ERLEN RD
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1063
Mailing Address - Country:US
Mailing Address - Phone:215-480-2226
Mailing Address - Fax:
Practice Address - Street 1:1802 ERLEN RD
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-1063
Practice Address - Country:US
Practice Address - Phone:215-480-2226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN539765163WA2000X, 163WH0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WH0200XNursing Service ProvidersRegistered NurseHome Health