Provider Demographics
NPI:1831259225
Name:TRUNNEL, SHERRY L (RN)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:L
Last Name:TRUNNEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:L
Other - Last Name:OSBORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1215 PLEASANT STREET SUITE 300
Mailing Address - Street 2:BLANK CHILDREN'S HEALTH CENTER II
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309
Mailing Address - Country:US
Mailing Address - Phone:515-241-6500
Mailing Address - Fax:515-241-8911
Practice Address - Street 1:1215 PLEASANT STREET SUITE 300
Practice Address - Street 2:BLANK CHILDREN'S HEALTH CENTER II
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309
Practice Address - Country:US
Practice Address - Phone:515-241-6500
Practice Address - Fax:515-241-8911
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA047323163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator