Provider Demographics
NPI:1831370832
Name:SHERMAN, JOAN C (JOAN SHERMAN MA RN)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:C
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:JOAN SHERMAN MA RN
Other - Prefix:MS
Other - First Name:JOAN
Other - Middle Name:C
Other - Last Name:SHERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, RN
Mailing Address - Street 1:162 WAVERLEY AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-2402
Mailing Address - Country:US
Mailing Address - Phone:617-527-1462
Mailing Address - Fax:
Practice Address - Street 1:651 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-2919
Practice Address - Country:US
Practice Address - Phone:508-620-1442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-18
Last Update Date:2007-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215091163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse