Provider Demographics
NPI:1801995808
Name:BERNARDIN, SHERRIE (RN, CNOR)
Entity type:Individual
Prefix:MRS
First Name:SHERRIE
Middle Name:
Last Name:BERNARDIN
Suffix:
Gender:F
Credentials:RN, CNOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 HARVEST GLEN DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5607
Mailing Address - Country:US
Mailing Address - Phone:972-644-8725
Mailing Address - Fax:214-368-3177
Practice Address - Street 1:7150 GREENVILLE AVE
Practice Address - Street 2:SUITE 310
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-7900
Practice Address - Country:US
Practice Address - Phone:214-368-3223
Practice Address - Fax:214-368-3177
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX236211163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant